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1780804435
C. DUSTIN WATERS
BOISE, ID
NPI
1780804435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist Pharmacotherapy
(Licence: ID P6019)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
DR. C. DUSTIN WATERS PHARMD
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-3436
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Mailing Address
DR. C. DUSTIN WATERS PHARMD
10042 W GARVERDALE DR APT 102
BOISE, ID 83704-8026
Phone number:
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