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1316538663
RENEW WELLNESS LLC
EAGLE, ID
NPI
1316538663
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Entity Type
Organization
Authorized Contact
MALISA WILLIAMS
Owner
208-912-4011
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2021-01-29
Last Update Date
2021-02-17
Business Address
RENEW WELLNESS LLC
1281 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-912-4011
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Mailing Address
RENEW WELLNESS LLC
5650 N DALSPRING AVE
BOISE, ID 83713-1315
Phone number:
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