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1245855113
MEGAN JENSEN
BOISE, ID
NPI
1245855113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 11802967-4901)
Enumeration Date
2020-06-16
Last Update Date
2020-06-16
Business Address
MEGAN JENSEN
6929 W TRAIL DR
BOISE, ID 83704-4568
Phone number: 208-914-3760
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Mailing Address
MEGAN JENSEN
6929 W TRAIL DR
BOISE, ID 83704-4568
Phone number:
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