DOUGLAS JOEL DAVIDSON

MOSCOW, ID
NPI1770672842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WA  DO00000689)
Enumeration Date2006-10-12
Last Update Date2007-11-29
Business Address
Mr. DOUGLAS JOEL DAVIDSON
512 S MAIN ST
MOSCOW, ID 83843-2918
Phone number: 208-883-3000
Mailing Address
Mr. DOUGLAS JOEL DAVIDSON
512 S MAIN ST
MOSCOW, ID 83843-2918
Phone number: 208-883-3000
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