BRIEONNA DAWN MINGO

POCATELLO, ID
NPI1497422885
Former NameBRIEONNA DAWN NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-2415)
Enumeration Date2021-08-24
Last Update Date2023-08-16
Business Address
BRIEONNA DAWN MINGO MOTR/L
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
Mailing 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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