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Individual

MR. JOSE DE SOTO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPHT

Contact information

Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2738
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2738

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T64359
ID

Other

Enumeration date
01/16/2026
Last updated
01/16/2026
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