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1326605429
SHINING LITE WEIGHT MANAGEMENT & PERSONAL SOLUTIONS, LLC
GARDEN CITY, ID
NPI
1326605429
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Entity Type
Organization
Authorized Contact
TAMARA F BETHEL
Member/Provider
208-639-2333
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2019-05-23
Last Update Date
2019-06-11
Business Address
SHINING LITE WEIGHT MANAGEMENT & PERSONAL SOLUTIONS, LLC
4483 N DRESDEN PL STE 102
GARDEN CITY, ID 83714-5092
Phone number: 208-639-2333
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Mailing Address
SHINING LITE WEIGHT MANAGEMENT & PERSONAL SOLUTIONS, LLC
8700 W ATWATER DR
GARDEN CITY, ID 83714-1299
Phone number: 208-559-4597
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