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1912074741
DAVID BRYAN COOK
IDAHO FALLS, ID
NPI
1912074741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-840)
Enumeration Date
2006-11-29
Last Update Date
2010-04-19
Business Address
DR. DAVID BRYAN COOK O.D.
1340 S. AMMON ROAD
IDAHO FALLS, ID 83406
Phone number: 208-523-3141
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Mailing Address
DR. DAVID BRYAN COOK O.D.
1340 S. AMMON ROAD
IDAHO FALLS, ID 83406
Phone number: 208-523-3141
Copy
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