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1326400409
LORENA HERNANDEZ
BOISE, ID
NPI
1326400409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-03-28
Last Update Date
2016-03-28
Business Address
-- LORENA HERNANDEZ
1720 N WESTGATE DR SUITE A-1
BOISE, ID 83704-7164
Phone number: 208-334-0808
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Mailing Address
-- LORENA HERNANDEZ
6299 S SOLAR WAY
BOISE, ID 83709-8606
Phone number:
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