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1497422885
BRIEONNA DAWN MINGO
POCATELLO, ID
NPI
1497422885
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Former Name
BRIEONNA DAWN NELSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: ID OT-2415)
Enumeration Date
2021-08-24
Last Update Date
2023-08-16
Business Address
BRIEONNA DAWN MINGO MOTR/L
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
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Mailing Address
BRIEONNA DAWN MINGO MOTR/L
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
Copy
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