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1356702518
BONITA HAFER
LEWISTON, ID
NPI
1356702518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2016-03-16
Last Update Date
2019-01-02
Business Address
BONITA HAFER
2604 16TH AVE
LEWISTON, ID 83501-3539
Phone number: 208-799-3460
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Mailing Address
BONITA HAFER
2604 16TH AVE
LEWISTON, ID 83501-3539
Phone number: 208-799-3460
Copy
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