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Individual

BINDAL KIRANKUMAR MAKWANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-4700
Mailing address
584 PHEASANT RIDGE DR APT A, CHUBBUCK, ID 83202-1856

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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