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Individual

MIRANDA HOLWEGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
203 N HOLMES AVE, IDAHO FALLS, ID 83401-2613
(208) 522-2591
Mailing address
1501 WAGON WHEEL DR APT 3, BLACKFOOT, ID 83221-3087
(801) 604-7785

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1763
ID

Other

Enumeration date
04/26/2017
Last updated
04/26/2017
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