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1295442705
GEONNA TRAVIS
BOISE, ID
NPI
1295442705
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
GEONNA TRAVIS RDN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
GEONNA TRAVIS RDN
12815 W BALDCYPRESS DR
BOISE, ID 83713-2064
Phone number: 208-790-6160
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