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1073361127
PHILIP WESLEY WATKINS
TWIN FALLS, ID
NPI
1073361127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: ID LD-141)
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
MR. PHILIP WESLEY WATKINS L.D.
414 SHOUP AVE W
TWIN FALLS, ID 83301-5027
Phone number: 208-613-5854
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Mailing Address
MR. PHILIP WESLEY WATKINS L.D.
1457 S 2000 E
GOODING, ID 83330-5124
Phone number: 208-749-4070
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