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1205931995
ELLENBECKER EYE CLINIC, PLLC
COEUR D ALENE, ID
NPI
1205931995
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Entity Type
Organization
Authorized Contact
WAYNE D ELLENBECKER
Optometrist/Owner
208-667-2255
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID 800)
Enumeration Date
2006-09-14
Last Update Date
2008-09-05
Business Address
ELLENBECKER EYE CLINIC, PLLC
1250 W IRONWOOD DR SUITE 201
COEUR D ALENE, ID 83814-2681
Phone number: 208-667-2255
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Mailing Address
ELLENBECKER EYE CLINIC, PLLC
1250 W IRONWOOD DR SUITE 201
COEUR D ALENE, ID 83814-2681
Phone number: 208-667-2255
Copy
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