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1053163006
JOSHUA RUGG
BOISE, ID
NPI
1053163006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
JOSHUA RUGG
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-338-4699
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Mailing Address
JOSHUA RUGG
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number: 208-338-4699
Copy
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