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1811606916
KAYLA WALLENTINE
IDAHO FALLS, ID
NPI
1811606916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P10352)
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
KAYLA WALLENTINE PharmD
2327 CORONADO ST
IDAHO FALLS, ID 83404-7407
Phone number: 208-528-1000
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Mailing Address
KAYLA WALLENTINE PharmD
3381 JUDY ST
AMMON, ID 83406-7549
Phone number: 208-681-5741
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