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Individual

DR. CLARE T ZENGOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
12598 FAIRVIEW AVE, SUITE 103, BOISE, ID 83713-0026
(208) 376-1346
(208) 376-1367
Mailing address
303 NECTARINE ST, NAMPA, ID 83686
(208) 376-1346
(208) 376-1367

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP0925
ID

Other

Enumeration date
02/21/2007
Last updated
02/05/2010
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