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1891406112
PRESTON FAMILY MEDICINE
PRESTON, ID
NPI
1891406112
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Entity Type
Organization
Authorized Contact
GORDON SCOTT BONTRAGER
Owner
423-215-6465
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-12-07
Last Update Date
2023-03-01
Business Address
PRESTON FAMILY MEDICINE
43 N 1ST E
PRESTON, ID 83263-1325
Phone number: 423-215-6465
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Mailing Address
PRESTON FAMILY MEDICINE
43 N 1ST E
PRESTON, ID 83263-1325
Phone number: 423-215-6465
Copy
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