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1013745546
COMMONPLACE WELLNESS LLC
BOISE, ID
NPI
1013745546
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Entity Type
Organization
Authorized Contact
ISSA NTAKARUTIMANA
Owner / Clinician
208-906-5878
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
COMMONPLACE WELLNESS LLC
500 W BANNOCK ST
BOISE, ID 83702-5916
Phone number: 208-906-5878
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Mailing Address
COMMONPLACE WELLNESS LLC
205 S BRUCE LN
BOISE, ID 83712-7804
Phone number:
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