LANIE BENSON

DRIGGS, ID
NPI1215344353
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: TX  D9358)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
LANIE BENSON
460 N 3RD E
DRIGGS, ID 83422-5146
Phone number: 208-821-2141
Mailing Address
LANIE BENSON
PO BOX 847
DRIGGS, ID 83422-0847
Phone number: 208-821-2141
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