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1316413768
AMIE HEATHERTON
BLACKFOOT, ID
NPI
1316413768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
AMIE HEATHERTON
98 POPLAR ST FL 2
BLACKFOOT, ID 83221-1799
Phone number: 208-782-2450
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Mailing Address
AMIE HEATHERTON
98 POPLAR ST FL 2
BLACKFOOT, ID 83221-1799
Phone number: 208-782-2450
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