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1902843485
CT DERM PC
FRUITLAND, ID
NPI
1902843485
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Entity Type
Organization
Authorized Contact
CARL R THORNFELDT
Owner
208-452-7450
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-06-01
Last Update Date
2015-03-27
Business Address
CT DERM PC
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
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Mailing Address
CT DERM PC
811 NW 12TH ST
FRUITLAND, ID 83619-2268
Phone number: 208-452-7450
Copy
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