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1811091309
BRIAN J. MCGOURTY
NAMPA, ID
NPI
1811091309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID 0-592)
Enumeration Date
2006-09-12
Last Update Date
2010-06-28
Business Address
-- BRIAN J. MCGOURTY O.D.
310 2ND ST S
NAMPA, ID 83651-3765
Phone number: 208-467-1361
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Mailing Address
-- BRIAN J. MCGOURTY O.D.
310 2ND ST S
NAMPA, ID 83651-3765
Phone number: 208-467-1361
Copy
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