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1295185908
KEISHA ANGELL
TWIN FALLS, ID
NPI
1295185908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-842)
Enumeration Date
2016-06-14
Last Update Date
2016-06-14
Business Address
-- KEISHA ANGELL MS, RDN, LDN
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4126
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Mailing Address
-- KEISHA ANGELL MS, RDN, LDN
445 LACASA LOOP
TWIN FALLS, ID 83301-5663
Phone number: 208-351-6479
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