NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1669410361
SNAKE RIVER GASTROENTEROLOGY LABS, L.L.C.
141 MORRISON ST
TWIN FALLS
ID
833015451
1497795215
REA
TED
1411 FALLS AVE E
TWIN FALLS
ID
833013455
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