GARY J LATTIMORE

IDAHO FALLS, ID
NPI1831398643
Entity TypeOrganization
Authorized ContactGARY J LATTIMORE
O PT Ometrist
208-522-6271
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2007-07-12
Last Update Date2008-02-28
Business Address
GARY J LATTIMORE
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-522-6271
Mailing Address
GARY J LATTIMORE
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-522-6271
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