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1871753061
ELISABETH GAYLE KINGHORN
POCATELLO, ID
NPI
1871753061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID PA-693)
Enumeration Date
2008-06-11
Last Update Date
2020-11-10
Business Address
ELISABETH GAYLE KINGHORN P.A.
151 N. 4TH AVE STE B
POCATELLO, ID 83201
Phone number: 208-269-7147
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Mailing Address
ELISABETH GAYLE KINGHORN P.A.
151 N. 4TH AVE STE B
POCATELLO, ID 83201
Phone number: 208-269-7147
Copy
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