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Organization
BALD 1 SLEEP SOLUTIONS LLC
Active
Organization
BALD 1 SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CADE BALDWIN (OWNER)
(801) 648-2294
Entity
Organization
Contact information
Practice address
790 N MERIDIAN ST, BLACKFOOT, ID 83221-4936
(801) 648-2294
Mailing address
790 N MERIDIAN ST, BLACKFOOT, ID 83221-4936
(801) 648-2294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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