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1952441024
VALLEY FACIAL PLASTICS & ENT, PA
LEWISTON, ID
NPI
1952441024
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Entity Type
Organization
Authorized Contact
JEFF BURRY
President
208-746-0193
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2007-02-07
Last Update Date
2015-01-05
Business Address
VALLEY FACIAL PLASTICS & ENT, PA
330 WARNER DR
LEWISTON, ID 83501-4441
Phone number: 208-746-0193
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Mailing Address
VALLEY FACIAL PLASTICS & ENT, PA
330 WARNER DR
LEWISTON, ID 83501-4441
Phone number: 208-746-0193
Copy
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