GERALD E CARLSON

NAMPA, ID
NPI1053339457
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: ID  0-19)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
Mr. GERALD E CARLSON D.O
1603 12TH AVE RD STE. B
NAMPA, ID 83686-7712
Phone number: 208-467-2400
Mailing Address
Mr. GERALD E CARLSON D.O
1603 12TH AVE RD STE. B
NAMPA, ID 83686-7712
Phone number: 208-467-2400
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