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1821106089
DANIEL K HINCKLEY
IDAHO FALLS, ID
NPI
1821106089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ID M-5686)
Enumeration Date
2006-08-28
Last Update Date
2014-12-10
Business Address
Dr. DANIEL K HINCKLEY M.D.
2065 E 17TH ST SUITE A
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-1764
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Mailing Address
Dr. DANIEL K HINCKLEY M.D.
2065 E 17TH ST SUITE A
IDAHO FALLS, ID 83404-8042
Phone number: 208-522-1764
Copy
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