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1649010810
ANGELA JADE GRIFFIN
CHUBBUCK, ID
NPI
1649010810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2024-05-27
Last Update Date
2024-05-27
Business Address
ANGELA JADE GRIFFIN
5290 DIAMOND CIR APT 2
CHUBBUCK, ID 83202-2181
Phone number: 214-909-5240
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Mailing Address
ANGELA JADE GRIFFIN
5290 DIAMOND CIR APT 2
CHUBBUCK, ID 83202-2181
Phone number: 214-909-5240
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