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1942854419
LUKE DAVID BECK
IDAHO FALLS, ID
NPI
1942854419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-1136)
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
LUKE DAVID BECK RD, LD
2325 CORONADO ST.
IDAHO FALLS, ID 83404
Phone number: 208-542-7030
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Mailing Address
LUKE DAVID BECK RD, LD
432 N 2800 E
ROBERTS, ID 83444
Phone number: 208-766-3843
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