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1235538802
MELISSA MARIE WALLINGA
BOISE, ID
NPI
1235538802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: ID D-827)
Enumeration Date
2014-08-19
Last Update Date
2014-08-19
Business Address
Mrs. MELISSA MARIE WALLINGA MS, RD, LD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
Mrs. MELISSA MARIE WALLINGA MS, RD, LD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Copy
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