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1184388407
TERESA CHINN
NAMPA, ID
NPI
1184388407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-1169)
Enumeration Date
2021-10-22
Last Update Date
2021-10-22
Business Address
TERESA CHINN RD
1127 CALDWELL BLVD
NAMPA, ID 83651-1701
Phone number: 208-465-4935
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Mailing Address
TERESA CHINN RD
85 FLOWING SPRINGS RD
BOISE, ID 83716
Phone number: 208-600-4083
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