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1376103457
JOSHUA CLARK DALLEY
BOISE, ID
NPI
1376103457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-100477)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
Dr. JOSHUA CLARK DALLEY OD
8641 W FRANKLIN RD
BOISE, ID 83709-0632
Phone number: 208-378-8989
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Mailing Address
Dr. JOSHUA CLARK DALLEY OD
9919 TOPAZ AVE APT 27
HESPERIA, CA 92345-8032
Phone number: 208-840-0861
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