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1720512478
KATY PEARCE
MERIDIAN, ID
NPI
1720512478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D-3214)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
KATY PEARCE
1067 S WELLS ST
MERIDIAN, ID 83642-7997
Phone number: 208-895-8486
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Mailing Address
KATY PEARCE
1067 S WELLS ST
MERIDIAN, ID 83642-7997
Phone number: 208-895-8486
Copy
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