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1215071246
DAVID JOHN ANTONIE
BOISE, ID
NPI
1215071246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP 896)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
Dr. DAVID JOHN ANTONIE O.D.
460 N MILWAUKEE ST SEARS OPTICAL
BOISE, ID 83704-9122
Phone number: 208-375-3030
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Mailing Address
Dr. DAVID JOHN ANTONIE O.D.
2593 N DEVLIN AVE
MERIDIAN, ID 83642-7313
Phone number: 208-863-5409
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