ZACHARY MARK BENNETT

BOISE, ID
NPI1376875179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy237700000X Hearing Instrument Specialist
(Licence: ID  HA-1106)
Enumeration Date2010-02-03
Last Update Date2010-02-03
Business Address
Mr. ZACHARY MARK BENNETT BC-HIS
50 S BROADWAY AVE SUITE B
BOISE, ID 83702-7283
Phone number: 208-377-3179
Mailing Address
Mr. ZACHARY MARK BENNETT BC-HIS
11250 W ROSE LAKE ST
STAR, ID 83669-5885
Phone number: 208-936-0333
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