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1932674553
RAYMOND DALE PRICE
IDAHO FALLS, ID
NPI
1932674553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID PA-1651)
Enumeration Date
2018-10-10
Last Update Date
2021-04-08
Business Address
RAYMOND DALE PRICE PA
2100 ALAN ST
IDAHO FALLS, ID 83404-5801
Phone number: 208-528-7655
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Mailing Address
RAYMOND DALE PRICE PA
2100 ALAN ST
IDAHO FALLS, ID 83404-5801
Phone number: 208-528-7655
Copy
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