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1538997499
ILLEANA DINETTE
MERIDIAN, ID
NPI
1538997499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID 1861363)
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
ILLEANA DINETTE
3348 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone number: 208-571-2210
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Mailing Address
ILLEANA DINETTE
846 N ASH PINE WAY
MERIDIAN, ID 83642-1213
Phone number:
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