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1053640268
SPRING CHUMANI BEAN
BOISE, ID
NPI
1053640268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-608)
Enumeration Date
2009-12-17
Last Update Date
2009-12-17
Business Address
SPRING CHUMANI BEAN RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
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Mailing Address
SPRING CHUMANI BEAN RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
Copy
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