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1811185408
STEPHEN DWIGHT COMSTOCK
BOISE, ID
NPI
1811185408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P-4064)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
Mr. STEPHEN DWIGHT COMSTOCK R.Ph.
6725 GLENWOOD ST
BOISE, ID 83714-1926
Phone number: 208-319-1271
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Mailing Address
Mr. STEPHEN DWIGHT COMSTOCK R.Ph.
10350 DASON DR
BOISE, ID 83704-1935
Phone number: 208-322-5245
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