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1396385845
ALPINE INTEGRATED WELLNESS
KETCHUM, ID
NPI
1396385845
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Entity Type
Organization
Authorized Contact
DANIEL JACOB ROTHMAN
Executive Director
503-936-0379
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-01-13
Last Update Date
2020-01-13
Business Address
ALPINE INTEGRATED WELLNESS
220 RIVER ST E SUITE D
KETCHUM, ID 83340
Phone number: 503-936-0379
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Mailing Address
ALPINE INTEGRATED WELLNESS
PO BOX 533
KETCHUM, ID 83340-0481
Phone number: 503-936-0379
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