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Individual

DR. JUSTIN TYRELL HAMMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2105 NIAGARA ST, IDAHO FALLS, ID 83404-8026
(208) 528-6010
(208) 528-6011
Mailing address
2105 NIAGARA ST, IDAHO FALLS, ID 83404-8026
(208) 528-6010
(208) 528-6011

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1341
ID

Other

Enumeration date
01/07/2009
Last updated
12/01/2016
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