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1194367821
BETTY E MAXWELL
COEUR D ALENE, ID
NPI
1194367821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
MRS. BETTY E MAXWELL CBRS
2205 N IRONWOOD PL STE A
COEUR D ALENE, ID 83814-2487
Phone number: 208-664-8347
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Mailing Address
MRS. BETTY E MAXWELL CBRS
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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