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1093090987
LYNN H COLTRIN
BOISE, ID
NPI
1093090987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P3630)
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
Mr. LYNN H COLTRIN
902 N CARMEN AVE
BOISE, ID 83704-9778
Phone number: 208-322-0695
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Mailing Address
Mr. LYNN H COLTRIN
902 N CARMEN AVE
BOISE, ID 83704-9778
Phone number: 208-322-0695
Copy
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