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Individual

DR. JACK G. ZARYBNISKY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1970 OVERLAND AVE., BURLEY, ID 83318-2439
(208) 678-3539
(208) 678-2949
Mailing address
1970 OVERLAND AVE, BURLEY, ID 83318-2439
(208) 678-3539
(208) 678-2949

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-501
ID

Other

Enumeration date
10/03/2005
Last updated
07/08/2007
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