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1144689068
CHARLENE DAVIS
BOISE, ID
NPI
1144689068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- CHARLENE DAVIS
1720 N WESTGATE DR SUITE D
BOISE, ID 83704-7164
Phone number: 208-334-0900
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Mailing Address
-- CHARLENE DAVIS
1720 N WESTGATE DR SUITE D
BOISE, ID 83704-7164
Phone number: 208-334-0900
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