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1437926607
YISEL MENDIETA
IDAHO FALLS, ID
NPI
1437926607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: ID 000)
Enumeration Date
2023-12-07
Last Update Date
2023-12-07
Business Address
YISEL MENDIETA
522 LOMAX ST
IDAHO FALLS, ID 83401
Phone number: 208-522-6925
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Mailing Address
YISEL MENDIETA
522 LOMAX ST
IDAHO FALLS, ID 83401
Phone number: 208-522-6925
Copy
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