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1487277455
NICOLE ANNE BODENSTAB LEE
NAMPA, ID
NPI
1487277455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW-32259)
Enumeration Date
2020-05-25
Last Update Date
2020-05-25
Business Address
NICOLE ANNE BODENSTAB LEE LMSW
158 MCCLURE AVE
NAMPA, ID 83651-2025
Phone number: 208-502-0183
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Mailing Address
NICOLE ANNE BODENSTAB LEE LMSW
158 MCCLURE AVE
NAMPA, ID 83651-2025
Phone number: 208-502-0183
Copy
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