DUSTIN JAY FIELDSTED

NAMPA, ID
NPI1265524193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ID  PT-1955)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
MR. DUSTIN JAY FIELDSTED PT
337 W IOWA AVE
NAMPA, ID 83686
Phone number: 208-467-7889
Mailing Address
MR. DUSTIN JAY FIELDSTED PT
337 W IOWA AVE
NAMPA, ID 83686
Phone number: 208-467-7889
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