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1942740857
IDAHO TRANSPORT LLC
BOISE, ID
NPI
1942740857
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Entity Type
Organization
Authorized Contact
ANDREW ODOM
Owner
208-854-9076
Organization Subpart ?
No
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
IDAHO TRANSPORT LLC
9616 W BIENAPFL DR
BOISE, ID 83709-4709
Phone number: 208-854-9076
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Mailing Address
IDAHO TRANSPORT LLC
9616 W BIENAPFL DR
BOISE, ID 83709-4709
Phone number: 208-854-9076
Copy
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