STATE OF IDAHO

POCATELLO, ID
NPI1821129420
Entity TypeOrganization
Authorized ContactEDWARD A. MARUGG
Director
208-233-9080
Organization Subpart ?No
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2007-03-08
Last Update Date2008-07-10
Business Address
STATE OF IDAHO
1901 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-239-5242
Mailing Address
STATE OF IDAHO
1901 ALVIN RICKEN DR
POCATELLO, ID 83201-2727
Phone number: 208-239-5242
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