BRANDON SHORES

BOISE, ID
NPI1427410083
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-03-23
Last Update Date2016-03-23
Business Address
-- BRANDON SHORES MS
1720 N WESTGATE DR
BOISE, ID 83704-7164
Phone number: 208-334-0810
Mailing Address
-- BRANDON SHORES MS
1720 N WESTGATE DR
BOISE, ID 83704-7164
Phone number: 208-334-0810
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