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1982093357
PAIN CARE CLINIC OF IDAHO, P.C.
EAGLE, ID
NPI
1982093357
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Entity Type
Organization
Authorized Contact
EDMUND C BOESE
Owner
208-939-3750
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
(Licence: ID M12565)
Enumeration Date
2015-01-22
Last Update Date
2015-01-22
Business Address
PAIN CARE CLINIC OF IDAHO, P.C.
742 E STATE ST SUITE 150
EAGLE, ID 83616-5941
Phone number: 208-939-3750
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Mailing Address
PAIN CARE CLINIC OF IDAHO, P.C.
742 E STATE ST SIUITE 150
EAGLE, ID 83616-5941
Phone number: 208-939-3750
Copy
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