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1447577135
DONALD RAY DEARDORFF
MERIDIAN, ID
NPI
1447577135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: OR HAS-P-10127683)
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
Mr. DONALD RAY DEARDORFF
1116 E GRAND CANYON ST
MERIDIAN, ID 83646-3662
Phone number: 707-628-6163
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Mailing Address
Mr. DONALD RAY DEARDORFF
1116 E GRAND CANYON ST
MERIDIAN, ID 83646-3662
Phone number: 707-628-6163
Copy
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