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1265121784
TRENT LARRY STUCKI
NAMPA, ID
NPI
1265121784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5503)
Enumeration Date
2023-05-01
Last Update Date
2023-05-01
Business Address
TRENT LARRY STUCKI DMD
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-505-8586
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Mailing Address
TRENT LARRY STUCKI DMD
1874 N THISTLE DR
KUNA, ID 83634-3492
Phone number: 208-521-1089
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