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1487200036
TERRANCE VALDESPINO
MOUNTAIN HOME AFB, ID
NPI
1487200036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
126800000X Dental Assistant
Enumeration Date
2019-08-09
Last Update Date
2019-08-09
Business Address
Mr. TERRANCE VALDESPINO
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-7300
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Mailing Address
Mr. TERRANCE VALDESPINO
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number:
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