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1225236037
SANDRA BIRCH
IDAHO FALLS, ID
NPI
1225236037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-365)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
Mrs. SANDRA BIRCH RD, LD
2860 CHANNING WAY STE 102
IDAHO FALLS, ID 83404-7532
Phone number: 208-529-6127
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Mailing Address
Mrs. SANDRA BIRCH RD, LD
2860 CHANNING WAY STE 102
IDAHO FALLS, ID 83404-7532
Phone number: 208-529-6127
Copy
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