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1538791249
LISA SUMMERS
BOISE, ID
NPI
1538791249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: ID 1258)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
LISA SUMMERS
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-0400
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Mailing Address
LISA SUMMERS
9196 W BARNES DR
BOISE, ID 83709-1552
Phone number: 208-433-0400
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