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You may have to clean or replace you Idle Air Control (IAC) valve. Mine did the same thing, but after I cleaned it, I realized that it idled too low, so now I have to replace. Be forwarned... you will most likely have to order the part (it cost about $43.00) or you can get one from a junkyard if you trust that. Hope this helps.

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Q: 1991 ford econoline 350 idle is up and down?
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