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1205931094
CAROLYN D SIMPSON
BOISE, ID
NPI
1205931094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D098)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
-- CAROLYN D SIMPSON RD
500 W FORT ST
BOISE, ID 83702
Phone number: 208-422-1141
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Mailing Address
-- CAROLYN D SIMPSON RD
2227 FREDERIC ST
BOISE, ID 83705
Phone number: 208-344-1014
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