LAYNE C MARTIN

BURLEY, ID
NPI1932313608
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: ID  05070617)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- LAYNE C MARTIN ROT
1263 BENNETT AVE STE 1
BURLEY, ID 83318-2666
Phone number: 208-678-9760
Mailing Address
-- LAYNE C MARTIN ROT
563 W 1700 S
OAKLEY, ID 83346-9747
Phone number: 208-862-0402
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