LANCE HENDERSON

PRESTON, ID
NPI1225186398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-1004)
Enumeration Date2007-01-08
Last Update Date2009-04-15
Business Address
-- LANCE HENDERSON
134 N STATE ST
PRESTON, ID 83263-1143
Phone number: 208-852-3030
Mailing Address
-- LANCE HENDERSON
749 NORTH 4900 WEST P.O. BOX 143
DAYTON, ID 83232
Phone number: 208-747-3020
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