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1669854931
NATHAN BOLANDER
SHELLEY, ID
NPI
1669854931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P7270)
Enumeration Date
2015-06-23
Last Update Date
2016-09-26
Business Address
-- NATHAN BOLANDER
570 S STATE ST
SHELLEY, ID 83274-1470
Phone number: 208-357-0473
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Mailing Address
-- NATHAN BOLANDER
570 S STATE ST
SHELLEY, ID 83274-1470
Phone number:
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