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1992321327
MARISA DENISE BROWN
BOISE, ID
NPI
1992321327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: ID 100511)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
MARISA DENISE BROWN ODP
11513 W FAIRVIEW AVE STE 106
BOISE, ID 83713-7887
Phone number: 208-322-8439
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Mailing Address
MARISA DENISE BROWN ODP
816 W FRANKLIN ST
BOISE, ID 83702-5530
Phone number: 206-715-7232
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