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1609116318
KATHERINE ELIZABETH MEDINA-GUILLEN
BOISE, ID
NPI
1609116318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LPC-5011)
Enumeration Date
2013-02-18
Last Update Date
2024-03-21
Business Address
KATHERINE ELIZABETH MEDINA-GUILLEN L.P.C
8675 W ARDENE ST
BOISE, ID 83709-2601
Phone number: 208-780-3900
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Mailing Address
KATHERINE ELIZABETH MEDINA-GUILLEN L.P.C
8675 W ARDENE ST
BOISE, ID 83709-2601
Phone number: 208-780-3900
Copy
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