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1881200517
VANNVEI LLC
LEWISTON, ID
NPI
1881200517
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Entity Type
Organization
Authorized Contact
TERESA GALL
Controller
509-758-5511
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2020-09-18
Last Update Date
2020-11-30
Business Address
VANNVEI LLC
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
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Mailing Address
VANNVEI LLC
PO BOX 341
LEWISTON, ID 83501-0341
Phone number:
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