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1275640013
BETH BOLEN
BOISE, ID
NPI
1275640013
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Former Name
BETH FORTUNA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-08-25
Last Update Date
2013-08-26
Business Address
-- BETH BOLEN
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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Mailing Address
-- BETH BOLEN
608 W HAYS, SUITE 200
BOISE, ID 83702-2612
Phone number: 208-381-7312
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