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1124872072
TARA RAYVONTI
PAUL, ID
NPI
1124872072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
TARA RAYVONTI CPSS. B.S. FPSS
PO BOX 754
PAUL, ID 83347-0754
Phone number: 208-878-8887
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Mailing Address
TARA RAYVONTI CPSS. B.S. FPSS
PO BOX 754
PAUL, ID 83347-0754
Phone number: 208-878-8887
Copy