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1760430367
EDUARDO AVILA
BLACKFOOT, ID
NPI
1760430367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ID M-9388)
Enumeration Date
2006-05-05
Last Update Date
2008-03-28
Business Address
Dr. EDUARDO AVILA MD
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-3993
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Mailing Address
Dr. EDUARDO AVILA MD
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-782-3993
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