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1972035772
MVH PIC LLC
POCATELLO, ID
NPI
1972035772
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Entity Type
Organization
Authorized Contact
NED HILLYARD
Cco
208-709-4571
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2017-03-30
Last Update Date
2024-04-24
Business Address
MVH PIC LLC
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
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Mailing Address
MVH PIC LLC
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
Copy
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