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1801171293
DR WENDELL R FACKRELL PLLC
CHUBBUCK, ID
NPI
1801171293
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Entity Type
Organization
Authorized Contact
WENDELL FACKRELL
Optometrist, Owner
801-722-5380
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
DR WENDELL R FACKRELL PLLC
4145 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2421
Phone number: 801-722-5380
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Mailing Address
DR WENDELL R FACKRELL PLLC
4145 YELLOWSTONE AVE
CHUBBUCK, ID 83202-2421
Phone number:
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