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1003685256
ARIANNA LYNN NICOLAYSEN
CHUBBUCK, ID
NPI
1003685256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: ID 356322)
Enumeration Date
2023-12-29
Last Update Date
2023-12-29
Business Address
ARIANNA LYNN NICOLAYSEN CLC
4946 GALENA ST
CHUBBUCK, ID 83202-3060
Phone number: 208-243-4077
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Mailing Address
ARIANNA LYNN NICOLAYSEN CLC
4946 GALENA ST
CHUBBUCK, ID 83202-3060
Phone number: 208-243-4077
Copy