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1821239781
ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER
POCATELLO, ID
NPI
1821239781
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Entity Type
Organization
Authorized Contact
ANNETTE NICA DAVIS
Administrator
208-478-8400
Organization Subpart ?
No
Primary Taxonomy
133N00000X Nutritionist
Enumeration Date
2009-03-23
Last Update Date
2009-03-23
Business Address
ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER
357 W CENTER ST STE 204
POCATELLO, ID 83204-3236
Phone number: 208-478-8400
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Mailing Address
ENDOBIOGENIC INTEGRATIVE MEDICAL CENTER
357 W CENTER ST STE 204
POCATELLO, ID 83204-3236
Phone number: 208-478-8400
Copy