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1720124324
BONNIE JEAN DEVALL
TWIN FALLS, ID
NPI
1720124324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122400000X Denturist
(Licence: ID LD18)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
MRS. BONNIE JEAN DEVALL LICENSED DENTURIST
507 MAIN AVE W SUITE B
TWIN FALLS, ID 83301
Phone number: 208-733-2374
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Mailing Address
MRS. BONNIE JEAN DEVALL LICENSED DENTURIST
507 MAIN AVE W SUITE B MAIN WEST DENTURE CLINIC
TWIN FALLS, ID 83301
Phone number: 208-733-2374
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