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1003481763
MIRANDA ARISBET HERNANDEZ
PAYETTE, ID
NPI
1003481763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-40800)
Enumeration Date
2021-05-25
Last Update Date
2021-05-25
Business Address
MIRANDA ARISBET HERNANDEZ
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: 208-406-4245
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Mailing Address
MIRANDA ARISBET HERNANDEZ
250 S MAIN ST
PAYETTE, ID 83661-2853
Phone number: 208-406-4245
Copy
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