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1912091174
JOHN HOWARD MUTO
BOISE, ID
NPI
1912091174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-612)
Enumeration Date
2006-10-03
Last Update Date
2010-06-29
Business Address
Dr. JOHN HOWARD MUTO O.D.
1175 W BOISE AVE
BOISE, ID 83706-3503
Phone number: 208-384-9194
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Mailing Address
Dr. JOHN HOWARD MUTO O.D.
1175 W BOISE AVE
BOISE, ID 83706-3503
Phone number: 208-384-9194
Copy
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