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1205667300
LUCINDA CHARLOTTE BISHOP DIMAGGIO
OSBURN, ID
NPI
1205667300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
LUCINDA CHARLOTTE BISHOP DIMAGGIO BIS
1257 E MULLAN AVE
OSBURN, ID 83849-0820
Phone number: 208-964-3073
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Mailing Address
LUCINDA CHARLOTTE BISHOP DIMAGGIO BIS
PO BOX 1155
OSBURN, ID 83849-1155
Phone number: 208-964-3073
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