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DEAN A WALLENTINE PHARM D. 1265425433

Overview
Name: DEAN A WALLENTINE PHARM D. Specialty: Durable Medical Equipment & Medical Supplies Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Suppliers Classification: Durable Medical Equipment & Medical Supplies Specialization: . Definition of Specialty: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.
License & NPI
License #(s): P5441, 1440CP, P5441, , License State(s): ID, ID, ID, ,
Addresses
Practice Location: 836 WASHINGTON ST,MONTPELIER,ID,832541423,US Mailing Address: 836 WASHINGTON ST,MONTPELIER,ID,832541423,US
Contact #
Practice location phone #: 2088471421 Practice location fax #: 2088471690 Mailing address Phone #: 2088471421 Mailing Address fax #: 2088471690 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/23/2005 Last data data was updated: 04/13/2015 Insurances:

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