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1538519749
KRISTOFER KELLY- JAMES LARK
BOISE, ID
NPI
1538519749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7518)
Enumeration Date
2016-06-18
Last Update Date
2016-06-18
Business Address
-- KRISTOFER KELLY- JAMES LARK PharmD
4709 W KENDALL ST
BOISE, ID 83706-2224
Phone number: 208-713-7948
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Mailing Address
-- KRISTOFER KELLY- JAMES LARK PharmD
4709 W KENDALL ST
BOISE, ID 83706-2224
Phone number: 208-713-7948
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