SHIRLEY YELLOWHAIR

POCATELLO, ID
NPI1184788226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: ID  050663)
Enumeration Date2006-12-21
Last Update Date2007-07-08
Business Address
-- SHIRLEY YELLOWHAIR CST
1950 E CLARK ST STE A
POCATELLO, ID 83201
Phone number: 208-232-5550
Mailing Address
-- SHIRLEY YELLOWHAIR CST
PO BOX 4948
POCATELLO, ID 83201
Phone number: 208-232-5550
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