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1043057359
REKINDLED SPIRIT MARSHALL MENTAL HEALTH
BOISE, ID
NPI
1043057359
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Entity Type
Organization
Authorized Contact
ETHEL ANNE MARSHALL
Owner
082-901-6691
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-07-12
Last Update Date
2024-07-18
Business Address
REKINDLED SPIRIT MARSHALL MENTAL HEALTH
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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Mailing Address
REKINDLED SPIRIT MARSHALL MENTAL HEALTH
4614 N SAVANNAH LN
BOISE, ID 83714-7405
Phone number: 208-901-6691
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