SUE SOROOR DIDEHBAN

BOISE, ID
NPI1588918676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: ID  000666777s)
Enumeration Date2012-10-29
Last Update Date2012-10-29
Business Address
Mrs. SUE SOROOR DIDEHBAN
7447 W EMERALD ST STE 105
BOISE, ID 83704-5003
Phone number: 208-322-1642
Mailing Address
Mrs. SUE SOROOR DIDEHBAN
7447 W EMERALD ST STE 105
BOISE, ID 83704-5003
Phone number: 208-322-1642
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