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1417627480
EYEDAHO OPTOMETRIC LLC
IDAHO FALLS, ID
NPI
1417627480
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Entity Type
Organization
Authorized Contact
TREVOR DICKSON
Owner
208-709-5371
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
EYEDAHO OPTOMETRIC LLC
500 S UTAH AVE
IDAHO FALLS, ID 83402-3305
Phone number: 208-528-8643
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Mailing Address
EYEDAHO OPTOMETRIC LLC
500 S UTAH AVE
IDAHO FALLS, ID 83402-3305
Phone number: 208-528-8643
Copy
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