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1952462681
GLEN R ALBERTSON
GOODING, ID
NPI
1952462681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282NC0060X General Acute Care Hospital, Critical Access
(Licence: ID 282nc0060x)
Enumeration Date
2006-12-13
Last Update Date
2007-07-09
Business Address
-- GLEN R ALBERTSON M.D
1120 MONTANA ST
GOODING, ID 83330-1858
Phone number: 208-934-4433
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Mailing Address
-- GLEN R ALBERTSON M.D
1120 MONTANA ST PO BOX 481
GOODING, ID 83330-1858
Phone number: 208-934-4433
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