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1417710096
CYNTHIA FORD
LEWISTON, ID
NPI
1417710096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: ID 13020)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
CYNTHIA FORD CPRC
1720 18TH AVE
LEWISTON, ID 83501-4047
Phone number: 208-746-4097
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Mailing Address
CYNTHIA FORD CPRC
1720 18TH AVE
LEWISTON, ID 83501-4047
Phone number: 208-746-4097
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