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1215420591
SONAMARIVELL GRANADOS
TWIN FALLS, ID
NPI
1215420591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-1010)
Enumeration Date
2018-06-11
Last Update Date
2018-06-11
Business Address
SONAMARIVELL GRANADOS RD, LD
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4120
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Mailing Address
SONAMARIVELL GRANADOS RD, LD
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4120
Copy
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