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1063288892
SHALISSA MARIE TOMKINSON
TWIN FALLS, ID
NPI
1063288892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-1600)
Enumeration Date
2023-12-01
Last Update Date
2024-04-10
Business Address
SHALISSA MARIE TOMKINSON
801 POLE LINE RD W RM H1155
TWIN FALLS, ID 83301-5810
Phone number: 208-814-1016
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Mailing Address
SHALISSA MARIE TOMKINSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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