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1336624030
BINGHAM FAMILY VISION, LLC
BLACKFOOT, ID
NPI
1336624030
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Entity Type
Organization
Authorized Contact
BROOKE CRANDALL
Manager
208-785-2210
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
BINGHAM FAMILY VISION, LLC
715 W JUDICIAL ST
BLACKFOOT, ID 83221-2036
Phone number: 208-785-2210
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Mailing Address
BINGHAM FAMILY VISION, LLC
715 W JUDICIAL ST
BLACKFOOT, ID 83221-2036
Phone number: 208-785-2210
Copy
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