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1821047432
GALEN J. STALEY
IDAHO FALLS, ID
NPI
1821047432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID d3064)
Enumeration Date
2006-05-09
Last Update Date
2007-07-09
Business Address
Dr. GALEN J. STALEY DDS
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4334
Phone number: 208-529-0120
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Mailing Address
Dr. GALEN J. STALEY DDS
200 N WOODRUFF AVE
IDAHO FALLS, ID 83401-4334
Phone number: 208-529-0120
Copy
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