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1497318422
DG PSYCHIATRIC SERVICES LLC
LEWISTON, ID
NPI
1497318422
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Entity Type
Organization
Authorized Contact
DINO J GIOLITTI
Owner
208-413-9973
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
DG PSYCHIATRIC SERVICES LLC
523 1/2 MAIN ST STE 7
LEWISTON, ID 83501-1870
Phone number: 208-413-9973
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Mailing Address
DG PSYCHIATRIC SERVICES LLC
928 GRELLE AVE
LEWISTON, ID 83501-5202
Phone number: 208-413-9973
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