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1770658767
TERRY L. BARNES
BURLEY, ID
NPI
1770658767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122400000X Denturist
(Licence: ID LD17)
Enumeration Date
2006-11-22
Last Update Date
2007-07-09
Business Address
-- TERRY L. BARNES L.D.
1100 ELBA AVE
BURLEY, ID 83318-1513
Phone number: 208-678-0616
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Mailing Address
-- TERRY L. BARNES L.D.
1100 ELBA AVE
BURLEY, ID 83318-1513
Phone number: 208-678-0616
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