JILL MARIE LANE

GRANGEVILLE, ID
NPI1427119254
Former NameJILL MARIE DEKAYE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100095)
Enumeration Date2006-12-13
Last Update Date2017-01-12
Business Address
Dr. JILL MARIE LANE O.D.
405 E MAIN ST
GRANGEVILLE, ID 83530-2239
Phone number: 208-983-3732
Mailing Address
Dr. JILL MARIE LANE O.D.
217 SE 10TH ST
GRANGEVILLE, ID 83530-5127
Phone number: 208-983-3494
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