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1629464052
BLACKFOOT VISION CARE ASSOCIATES
BLACKFOOT, ID
NPI
1629464052
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Entity Type
Organization
Authorized Contact
GARY J LATTIMORE
O PT Ometrist
208-785-2025
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2015-04-13
Last Update Date
2015-04-13
Business Address
BLACKFOOT VISION CARE ASSOCIATES
34 SE MAIN ST
BLACKFOOT, ID 83221-5094
Phone number: 208-785-2025
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Mailing Address
BLACKFOOT VISION CARE ASSOCIATES
34 SE MAIN ST
BLACKFOOT, ID 83221-5094
Phone number: 208-785-2025
Copy
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