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1023223187
ASPEN RIDGE EYE CARE, PLLC
AMMON, ID
NPI
1023223187
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Entity Type
Organization
Authorized Contact
JERRY D CARLSON
Owner
208-528-6900
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-100104)
Enumeration Date
2007-05-11
Last Update Date
2013-05-01
Business Address
ASPEN RIDGE EYE CARE, PLLC
3456 E 17TH ST SUITE 150
AMMON, ID 83406-6757
Phone number: 208-528-6900
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Mailing Address
ASPEN RIDGE EYE CARE, PLLC
3456 E 17TH ST SUITE 150
AMMON, ID 83406-6757
Phone number: 208-528-6900
Copy
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