WENDELL FACKRELL

BOISE, ID
NPI1750678298
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100232)
Enumeration Date2011-07-05
Last Update Date2016-08-06
Business Address
Dr. WENDELL FACKRELL O.D.
421 N. COLE RD. STE 102
BOISE, ID 83704
Phone number: 208-658-1068
Mailing Address
Dr. WENDELL FACKRELL O.D.
421 N COLE RD STE 102
BOISE, ID 83704-9114
Phone number: 208-658-1068
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