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1184329070
NVELUP IDAHO CORP
MERIDIAN, ID
NPI
1184329070
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Entity Type
Organization
Authorized Contact
TROY DI LELLO
President
412-532-4990
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
NVELUP IDAHO CORP
3597 E MONARCH SKY LN STE 240-8464
MERIDIAN, ID 83646-1053
Phone number: 415-324-9906
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Mailing Address
NVELUP IDAHO CORP
PO BOX 7221
PETALUMA, CA 94955-7221
Phone number: 415-324-9906
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