SHANE KINZER

MOSCOW, ID
NPI1427755511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  100626)
Enumeration Date2023-02-09
Last Update Date2023-07-19
Business Address
SHANE KINZER OD
1844 W PULLMAN RD
MOSCOW, ID 83843-4014
Phone number: 208-883-1800
Mailing Address
SHANE KINZER OD
1844 W PULLMAN RD
MOSCOW, ID 83843-4014
Phone number:
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