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1043860919
STEPHANIE COULTER
BOISE, ID
NPI
1043860919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-09-12
Last Update Date
2019-09-12
Business Address
STEPHANIE COULTER PSS
2200 W FAIRVIEW AVE
BOISE, ID 83702-6808
Phone number: 208-344-3512
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Mailing Address
STEPHANIE COULTER PSS
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431
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