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1043836836
CHAD EVAN SELLERS
NAMPA, ID
NPI
1043836836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5158)
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
CHAD EVAN SELLERS DMD
607 2ND ST S
NAMPA, ID 83651-3837
Phone number: 208-466-2456
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Mailing Address
CHAD EVAN SELLERS DMD
1881 W DIVIDE CREEK ST
MERIDIAN, ID 83646-3464
Phone number: 208-515-1466
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