DR WENDELL R FACKRELL PLLC

CHUBBUCK, ID
NPI1801171293
Entity TypeOrganization
Authorized ContactWENDELL FACKRELL
O PT Ometrist, Owner
801-722-5380
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2011-10-17
Last Update Date2011-10-17
Business Address
DR WENDELL R FACKRELL PLLC
4145 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2421
Phone number: 801-722-5380
Mailing Address
DR WENDELL R FACKRELL PLLC
4145 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2421
Phone number:
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