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1790708832
COMMUNITY CARE
IDAHO FALLS, ID
NPI
1790708832
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Entity Type
Organization
Authorized Contact
RYAN L PETERSON
CEO
208-525-8448
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-07-26
Last Update Date
2009-12-30
Business Address
COMMUNITY CARE
765 S. UTAH AVE
IDAHO FALLS, ID 83402
Phone number: 208-525-2600
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Mailing Address
COMMUNITY CARE
765 S. UTAH AVE
IDAHO FALLS, ID 83402
Phone number: 208-525-2600
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