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1033783030
ANGELICA LOPEZ
BOISE, ID
NPI
1033783030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
ANGELICA LOPEZ
1087 E PARK BLVD
BOISE, ID 83712
Phone number: 208-504-1731
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Mailing Address
ANGELICA LOPEZ
PO BOX 190311
BOISE, ID 83719-0311
Phone number: 208-596-3665
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