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1336285345
DALE JUSTIN STORMOGIPSON
COEUR D ALENE, ID
NPI
1336285345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M5936)
Enumeration Date
2007-01-29
Last Update Date
2010-07-06
Business Address
DR. DALE JUSTIN STORMOGIPSON M.D.
1814 LINCOLN WAY
COEUR D ALENE, ID 83814-2540
Phone number: 208-667-2531
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Mailing Address
DR. DALE JUSTIN STORMOGIPSON M.D.
1814 LINCOLN WAY
COEUR D ALENE, ID 83814-2540
Phone number: 208-667-2531
Copy
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