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Individual

BRENT MICHEAL DION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
700 12TH AVE S, NAMPA, ID 83651-4255
(208) 467-1560
Mailing address
2739 W SELWAY RAPIDS LN APT 208, MERIDIAN, ID 83646-6201
(406) 939-1603

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6830
ID

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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