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1558931691
COEUR D'ALENE WIGS LLC
COEUR D ALENE, ID
NPI
1558931691
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Entity Type
Organization
Authorized Contact
JENNIFER LYNN LINDLEY
Owner/Partner
208-551-2761
Organization Subpart ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
COEUR D'ALENE WIGS LLC
296 W SUNSET AVE STE 17
COEUR D ALENE, ID 83815-8367
Phone number: 208-551-2761
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Mailing Address
COEUR D'ALENE WIGS LLC
PO BOX 1073
HAYDEN, ID 83835-1073
Phone number: 208-651-5109
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