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1508942616
FREDERICK PRINS
TWIN FALLS, ID
NPI
1508942616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID OD485)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
DR. FREDERICK PRINS OD
691 SHOSHONE ST N
TWIN FALLS, ID 83301-6154
Phone number: 208-733-1067
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Mailing Address
DR. FREDERICK PRINS OD
691 SHOSHONE ST N
TWIN FALLS, ID 83301-6154
Phone number: 208-733-1067
Copy
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