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1285610444
NATHAN LEE ANDERSON
MOUNTAIN HOME AFB, ID
NPI
1285610444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-100562)
Enumeration Date
2005-12-20
Last Update Date
2022-05-19
Business Address
Dr. NATHAN LEE ANDERSON O.D.
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7250
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Mailing Address
Dr. NATHAN LEE ANDERSON O.D.
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7250
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