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1093165524
CODY WAID
MERIDIAN, ID
NPI
1093165524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: ID LD-111)
Enumeration Date
2016-06-15
Last Update Date
2016-06-15
Business Address
CODY WAID L.D.
1833 N LAKES PL
MERIDIAN, ID 83646-1921
Phone number: 208-346-1887
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Mailing Address
CODY WAID L.D.
505 1ST ST STE A
IDAHO FALLS, ID 83401-3929
Phone number: 208-346-1887
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