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1104680602
BESPOKE BODY & WELLNESS
MERIDIAN, ID
NPI
1104680602
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Entity Type
Organization
Authorized Contact
ALISON MELLE
Np/Owner
208-398-9974
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
BESPOKE BODY & WELLNESS
4028 N QUENZER WAY
MERIDIAN, ID 83646-5928
Phone number: 208-398-9974
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Mailing Address
BESPOKE BODY & WELLNESS
4028 N QUENZER WAY
MERIDIAN, ID 83646-5928
Phone number: 208-398-9974
Copy
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