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1144654377
KELSEY ELIZABETH RUSZEL
BOISE, ID
NPI
1144654377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-785)
Enumeration Date
2013-08-23
Last Update Date
2014-02-10
Business Address
KELSEY ELIZABETH RUSZEL RD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
KELSEY ELIZABETH RUSZEL RD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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