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1821049784
YANCIE JOHN KIDD
REXBURG, ID
NPI
1821049784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: ID AUD-1081)
Enumeration Date
2006-05-15
Last Update Date
2010-03-30
Business Address
Dr. YANCIE JOHN KIDD Au.D.
218 DIVIDEND DR SUITE 2
REXBURG, ID 83440-3556
Phone number: 208-359-2727
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Mailing Address
Dr. YANCIE JOHN KIDD Au.D.
635 E 2ND N
SAINT ANTHONY, ID 83445-1612
Phone number: 208-403-5450
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