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1215622048
MENTAL HEALTH CLINIC OF IDAHO PLLC
BOISE, ID
NPI
1215622048
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Entity Type
Organization
Authorized Contact
SAMI PHUYAL
Provider/Owner
979-332-4184
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2023-04-07
Last Update Date
2023-04-18
Business Address
MENTAL HEALTH CLINIC OF IDAHO PLLC
6737 E DEER RIDGE ST
BOISE, ID 83716-7147
Phone number: 979-332-4184
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Mailing Address
MENTAL HEALTH CLINIC OF IDAHO PLLC
6737 E DEER RIDGE ST
BOISE, ID 83716-7147
Phone number: 979-332-4184
Copy
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