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Organization
WHOLESOME HEALTH
Active
Organization
WHOLESOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARAMIE LINNING WHEELER DO (OWNER)
(208) 589-3846
Entity
Organization
Contact information
Practice address
3040 E 17TH ST, AMMON, ID 83406-6760
(208) 557-0200
(208) 542-5080
Mailing address
3040 E 17TH ST, AMMON, ID 83406-6760
(208) 557-0200
(208) 542-5080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-0426
ID
363L00000X
Nurse Practitioner
NP676A
ID
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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