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1861867277
SHANE DARNELL
SHELLEY, ID
NPI
1861867277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZE0500X Specialist/Technologist, Other EEG
(Licence: ID 11)
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
MR. SHANE DARNELL
449 BERRETT AVE
SHELLEY, ID 83274-1201
Phone number: 208-529-6148
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Mailing Address
MR. SHANE DARNELL
449 BERRETT AVE
SHELLEY, ID 83274-1201
Phone number: 208-529-6148
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