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1942202957
CREIGHTON ALVES HARDIN
POCATELLO, ID
NPI
1942202957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: ID M3986)
Enumeration Date
2005-08-10
Last Update Date
2012-11-02
Business Address
Dr. CREIGHTON ALVES HARDIN M.D.
1151 HOSPITAL WAY BUILDING F
POCATELLO, ID 83201-5091
Phone number: 208-232-1443
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Mailing Address
Dr. CREIGHTON ALVES HARDIN M.D.
1151 HOSPITAL WAY BUILDING F
POCATELLO, ID 83201-5091
Phone number: 208-232-1443
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