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1255334066
RANDAL LEE WRAALSTAD
TWIN FALLS, ID
NPI
1255334066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: ID p152)
Enumeration Date
2005-05-24
Last Update Date
2024-11-05
Business Address
Dr. RANDAL LEE WRAALSTAD D.P.M.
762 N COLLEGE RD STE A
TWIN FALLS, ID 83301-5392
Phone number: 208-814-7150
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Mailing Address
Dr. RANDAL LEE WRAALSTAD D.P.M.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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