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1366210163
TYLER PAUL LEENKNECHT
MERIDIAN, ID
NPI
1366210163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
Mr. TYLER PAUL LEENKNECHT
1407 W. MCMILLAN ROAD SUITE 120
MERIDIAN, ID 83646
Phone number: 208-315-6717
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Mailing Address
Mr. TYLER PAUL LEENKNECHT
P.O. BOX 1662
MERIDIAN, ID 83680
Phone number: 208-571-8459
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