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1295145654
SANDRA KIPP
NAMPA, ID
NPI
1295145654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-789)
Enumeration Date
2014-05-06
Last Update Date
2023-11-06
Business Address
SANDRA KIPP RDN
1105 2ND ST S
NAMPA, ID 83651-3911
Phone number: 208-250-0836
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Mailing Address
SANDRA KIPP RDN
823 W MOUNTAIN ASH LOOP
NAMPA, ID 83686-2681
Phone number: 208-250-0836
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