GLEN RANDALL

POCATELLO, ID
NPI1427083807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  chia-912)
Enumeration Date2006-07-12
Last Update Date2007-07-09
Business Address
-- GLEN RANDALL dc
1598 DELPHIC WAY STE A2
POCATELLO, ID 83201-2200
Phone number: 208-232-0220
Mailing Address
-- GLEN RANDALL dc
1598 DELPHIC WAY STE A2
POCATELLO, ID 83201-2200
Phone number:
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