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1023113370
DARIA T PORI
BOISE, ID
NPI
1023113370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D297)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
-- DARIA T PORI RD
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1141
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Mailing Address
-- DARIA T PORI RD
2418 ROANOKE DR
BOISE, ID 83712-7537
Phone number: 208-433-1183
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