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1992792469
ADAM HEINER
EAGLE, ID
NPI
1992792469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP 1041)
Enumeration Date
2005-09-30
Last Update Date
2021-04-01
Business Address
Dr. ADAM HEINER O.D.
3541 W BAVARIA ST
EAGLE, ID 83616-6318
Phone number: 208-939-5005
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Mailing Address
Dr. ADAM HEINER O.D.
3541 W BAVARIA ST
EAGLE, ID 83616-6318
Phone number: 208-939-5005
Copy
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