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1720004419
RANDY LYMAN BISHOP
POCATELLO, ID
NPI
1720004419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: ID AUD 1225)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Mr. RANDY LYMAN BISHOP M.S.
650 MEDICAL DR #68
POCATELLO, ID 83209-0001
Phone number: 208-282-4034
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Mailing Address
Mr. RANDY LYMAN BISHOP M.S.
650 MEDICAL DR #68
POCATELLO, ID 83209-0001
Phone number: 208-282-4034
Copy
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