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1902863293
GARY J LATTIMORE
IDAHO FALLS, ID
NPI
1902863293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID 0505)
Enumeration Date
2006-04-28
Last Update Date
2010-01-22
Business Address
Dr. GARY J LATTIMORE OD
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-522-6271
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Mailing Address
Dr. GARY J LATTIMORE OD
501 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-522-6271
Copy
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