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1528848298
DESTINY MICHELLE BOWER
BOISE, ID
NPI
1528848298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
Ms. DESTINY MICHELLE BOWER BS
3682 N LA FONTANA WAY
BOISE, ID 83702-1527
Phone number: 208-440-9546
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Mailing Address
Ms. DESTINY MICHELLE BOWER BS
3682 N LA FONTANA WAY
BOISE, ID 83702-1527
Phone number: 208-440-9546
Copy
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