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1831410760
STILL WATERS, INCORPORATED
POCATELLO, ID
NPI
1831410760
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Entity Type
Organization
Authorized Contact
PATRICIA L SEILER
Treasurer
208-221-2553
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
STILL WATERS, INCORPORATED
4138 RENO DR
POCATELLO, ID 83202-5086
Phone number: 208-221-2553
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Mailing Address
STILL WATERS, INCORPORATED
4138 RENO DR
POCATELLO, ID 83202-5086
Phone number: 208-221-2553
Copy
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