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1154666055
VIOLET LEONA MOON
BOISE, ID
NPI
1154666055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: ID MID-46)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
Ms. VIOLET LEONA MOON CPM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
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Mailing Address
Ms. VIOLET LEONA MOON CPM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
Copy
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