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1053570515
LUANA TOMCHAK
IDAHO FALLS, ID
NPI
1053570515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-106)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- LUANA TOMCHAK R.D.
1957 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-529-2352
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Mailing Address
-- LUANA TOMCHAK R.D.
1957 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-529-2352
Copy
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