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1205314606
MELANIE HENSTROM
BOISE, ID
NPI
1205314606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: ID L-126472)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
MELANIE HENSTROM IBCLC
6689 E PLAYWRIGHT DR
BOISE, ID 83716-5831
Phone number: 971-235-8773
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Mailing Address
MELANIE HENSTROM IBCLC
6689 E PLAYWRIGHT DR
BOISE, ID 83716-5831
Phone number: 971-235-8773
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