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1942028592
PRISM FAMILY MEDICINE LLC
POCATELLO, ID
NPI
1942028592
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Entity Type
Organization
Authorized Contact
JESSICA J ROLYNN
Owner
208-806-4581
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-10-02
Last Update Date
2024-10-03
Business Address
PRISM FAMILY MEDICINE LLC
1950 E CLARK ST STE 100
POCATELLO, ID 83201-3315
Phone number: 208-806-4581
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Mailing Address
PRISM FAMILY MEDICINE LLC
1950 E CLARK ST STE 100
POCATELLO, ID 83201-3315
Phone number:
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