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1235905274
MISTY PORTER
IDAHO FALLS, ID
NPI
1235905274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-11-30
Last Update Date
2023-11-30
Business Address
MISTY PORTER
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-524-5607
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Mailing Address
MISTY PORTER
540 3RD ST
IDAHO FALLS, ID 83401-3953
Phone number: 208-524-5607
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