DUSTIN SHARPE

BOISE, ID
NPI1780937532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy283Q00000X Psychiatric Hospital
(Licence: ID  32199)
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
-- DUSTIN SHARPE
8050 W NORTHVIEW ST
BOISE, ID 83704-7126
Phone number: 805-327-0504
Mailing Address
-- DUSTIN SHARPE
9251 W RIFLEMAN CT
BOISE, ID 83704-9737
Phone number:
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