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1992060081
DANIEL SHANE STIMPSON
MERIDIAN, ID
NPI
1992060081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P6521)
Enumeration Date
2012-07-05
Last Update Date
2012-07-05
Business Address
-- DANIEL SHANE STIMPSON RPH
1850 E FAIRVIEW AVE
MERIDIAN, ID 83642-5702
Phone number: 208-887-5273
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Mailing Address
-- DANIEL SHANE STIMPSON RPH
1850 E FAIRVIEW AVE
MERIDIAN, ID 83642-5702
Phone number: 208-887-5273
Copy
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