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1487773156
SUSAN IWASA
BOISE, ID
NPI
1487773156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: ID N-15513)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- SUSAN IWASA RN, CDE
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
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Mailing Address
-- SUSAN IWASA RN, CDE
253 W MAIN ST
WEISER, ID 83672-1835
Phone number: 208-884-0048
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