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1518547140
BOISE KETAMINE CLINIC
BOISE, ID
NPI
1518547140
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Entity Type
Organization
Authorized Contact
NYKOL BAILEY
Owner
208-801-1414
Organization Subpart ?
No
Primary Taxonomy
261QI0500X Clinic/Center, Infusion Therapy
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
BOISE KETAMINE CLINIC
2800 W OVERLAND RD
BOISE, ID 83705-3038
Phone number: 208-801-1414
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Mailing Address
BOISE KETAMINE CLINIC
2800 W OVERLAND RD
BOISE, ID 83705-3038
Phone number: 208-801-1414
Copy
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