DIAMOND PEAK IDAHO

REXBURG, ID
NPI1588039127
Entity TypeOrganization
Authorized ContactWADE DEMORDAUNT
Owner
925-222-1957
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-959)
Enumeration Date2015-12-08
Last Update Date2016-02-04
Business Address
DIAMOND PEAK IDAHO
1450 N 2ND E
REXBURG, ID 83440-5131
Phone number: 208-497-6406
Mailing Address
DIAMOND PEAK IDAHO
PO BOX 158
REXBURG, ID 83440-0158
Phone number: 208-497-6406
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