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Organization
SAGE RESEARCH FOUNDATION INC
Active
Organization
SAGE RESEARCH FOUNDATION INC
Active
Other names
Crush the Curve Idaho Foundation, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMAS AHLQUIST MD (OWNER)
(208) 810-2298
Entity
Organization
Contact information
Practice address
2775 W NAVIGATOR DR STE 220, MERIDIAN, ID 83642-7592
(208) 616-1050
Mailing address
2775 W NAVIGATOR DR STE 220, MERIDIAN, ID 83642-7592
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
02/12/2021
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