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1104453950
SHANE ROBINSON
BLACKFOOT, ID
NPI
1104453950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
SHANE ROBINSON
131 W BRIDGE ST
BLACKFOOT, ID 83221-2704
Phone number: 208-782-0990
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Mailing Address
SHANE ROBINSON
PO BOX 232
BLACKFOOT, ID 83221-0232
Phone number:
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