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1205843018
QUINN COOPER MIKESELL
RIGBY, ID
NPI
1205843018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-3876)
Enumeration Date
2006-08-02
Last Update Date
2015-11-25
Business Address
Dr. QUINN COOPER MIKESELL D.M.D.
711 RIGBY LAKE DR. #102
RIGBY, ID 83442
Phone number: 208-745-8788
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Mailing Address
Dr. QUINN COOPER MIKESELL D.M.D.
711 RIGBY LAKE DR. #102
RIGBY, ID 83442
Phone number: 208-745-8788
Copy
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