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1619591054
LYNNELLE KING
EAGLE, ID
NPI
1619591054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: ID L-67377)
Enumeration Date
2020-06-02
Last Update Date
2020-06-02
Business Address
LYNNELLE KING IBCLC
457 S FITNESS PL
EAGLE, ID 83616-6568
Phone number: 208-856-0564
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Mailing Address
LYNNELLE KING IBCLC
PO BOX 2681
EAGLE, ID 83616-9122
Phone number: 208-856-0564
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