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1154314268
DANIEL L TILLER
NAMPA, ID
NPI
1154314268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-696)
Enumeration Date
2005-08-24
Last Update Date
2010-03-10
Business Address
Dr. DANIEL L TILLER O.D.
901 12TH AVE S
NAMPA, ID 83651-4658
Phone number: 208-466-9251
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Mailing Address
Dr. DANIEL L TILLER O.D.
901 12TH AVE S
NAMPA, ID 83651-4658
Phone number: 208-466-9251
Copy
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