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1215369293
CASSI MENDIOLA WATKINS
BOISE, ID
NPI
1215369293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID 86013281)
Enumeration Date
2013-08-01
Last Update Date
2016-10-19
Business Address
Mrs. CASSI MENDIOLA WATKINS R.D., L.D.
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-4011
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Mailing Address
Mrs. CASSI MENDIOLA WATKINS R.D., L.D.
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-4011
Copy
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