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1366195877
JAMES FORREST FAUVER
LEWISTON, ID
NPI
1366195877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: ID CFH-9384)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
JAMES FORREST FAUVER
24648 GOLDEN LN
LEWISTON, ID 83501-7964
Phone number: 208-790-4504
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Mailing Address
JAMES FORREST FAUVER
24648 GOLDEN LN
LEWISTON, ID 83501-7964
Phone number: 208-790-4504
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