CARL L. GIAUQUE

AMMON, ID
NPI1639289721
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP 1062)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- CARL L. GIAUQUE O.D.
1201 S 25TH E
AMMON, ID 83406-5729
Phone number: 208-524-8978
Mailing Address
-- CARL L. GIAUQUE O.D.
139 N 4100 E
RIGBY, ID 83442-5983
Phone number: 208-745-0139
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