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1164540209
JEANNEE DIAZ
BOISE, ID
NPI
1164540209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-146)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- JEANNEE DIAZ RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-311-1155
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Mailing Address
-- JEANNEE DIAZ RD
6516 W OUTLOOK DR
BOISE, ID 83714-5402
Phone number: 208-853-3815
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