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1124079041
MATT G. MERRELL
TWIN FALLS, ID
NPI
1124079041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP878)
Enumeration Date
2006-05-15
Last Update Date
2012-07-27
Business Address
-- MATT G. MERRELL O.D.
526H SHOUP AVE W.
TWIN FALLS, ID 83301-5050
Phone number: 208-733-2400
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Mailing Address
-- MATT G. MERRELL O.D.
526H SHOUP AVE W.
TWIN FALLS, ID 83301-5050
Phone number: 208-733-2400
Copy
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