SHANE DARNELL

SHELLEY, ID
NPI1861867277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZE0500X Specialist/Technologist, Other, EEG
(Licence: ID  11)
Enumeration Date2015-12-10
Last Update Date2015-12-10
Business Address
Mr. SHANE DARNELL
449 BERRETT AVE
SHELLEY, ID 83274-1201
Phone number: 208-529-6148
Mailing Address
Mr. SHANE DARNELL
449 BERRETT AVE
SHELLEY, ID 83274-1201
Phone number: 208-529-6148
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