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1235665290
SHARON NELSON
BOISE, ID
NPI
1235665290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-254)
Enumeration Date
2017-05-11
Last Update Date
2018-06-22
Business Address
SHARON NELSON RD, LD
2790 S GOSHEN WAY
BOISE, ID 83709
Phone number: 208-373-7975
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Mailing Address
SHARON NELSON RD, LD
2790 S GOSHEN WAY
BOISE, ID 83709-8506
Phone number: 208-373-7975
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