DORSIE THOMAS SULLENGER

REXBURG, ID
NPI1831682194
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P4235)
Enumeration Date2018-06-12
Last Update Date2018-06-12
Business Address
DORSIE THOMAS SULLENGER
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6484
Mailing Address
DORSIE THOMAS SULLENGER
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6484
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