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1639257017
JAMES RUSSELL BEWLEY
CALDWELL, ID
NPI
1639257017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP 100085)
Enumeration Date
2006-11-01
Last Update Date
2012-08-30
Business Address
Mr. JAMES RUSSELL BEWLEY OD
420 E ELM STREET
CALDWELL, ID 83605-4846
Phone number: 208-459-2020
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Mailing Address
Mr. JAMES RUSSELL BEWLEY OD
420 E ELM STREET
CALDWELL, ID 83605-4846
Phone number: 208-459-2020
Copy
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