CHARLES RICHARD NICHOLSON

BOISE, ID
NPI1962422253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100134)
Enumeration Date2006-07-20
Last Update Date2009-01-26
Business Address
-- CHARLES RICHARD NICHOLSON O.D.
11513 W FAIRVIEW AVE SUITE 106
BOISE, ID 83713-7886
Phone number: 208-322-8439
Mailing Address
-- CHARLES RICHARD NICHOLSON O.D.
11513 W FAIRVIEW AVE SUITE 106
BOISE, ID 83713-7886
Phone number: 208-322-8439
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