KOALBY BROWN

GRANGEVILLE, ID
NPI1437641735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4924)
Enumeration Date2018-06-01
Last Update Date2018-06-01
Business Address
KOALBY BROWN
120 N A ST
GRANGEVILLE, ID 83530-1211
Phone number: 208-983-1651
Mailing Address
KOALBY BROWN
120 N A ST
GRANGEVILLE, ID 83530-1211
Phone number: 208-983-1651
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