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1346821311
SARAH SHANTI FAZEL
BOISE, ID
NPI
1346821311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
SARAH SHANTI FAZEL
IDAHO DEPARTMENT OF HEALTH AND WELFARE 1720 WESTGATE DR. SUITE D
BOISE, ID 83704
Phone number: 208-334-0921
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Mailing Address
SARAH SHANTI FAZEL
219 S DIAMOND ST
NAMPA, ID 83686-5315
Phone number: 208-965-1955
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