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1114342755
LULLABY WATERS PLLC
BOISE, ID
NPI
1114342755
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Entity Type
Organization
Authorized Contact
NICOLE NICKELL
Owner
208-949-3481
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OT-1014)
Enumeration Date
2014-02-19
Last Update Date
2021-07-13
Business Address
LULLABY WATERS PLLC
1410 S BROADWAY AVE
BOISE, ID 83706-3706
Phone number: 208-949-3481
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Mailing Address
LULLABY WATERS PLLC
179 E OLD SAYBROOK DR
BOISE, ID 83706-4918
Phone number:
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