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1649429879
SHERIE HELEN SQUIRES
IDAHO FALLS, ID
NPI
1649429879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-015)
Enumeration Date
2008-09-11
Last Update Date
2008-09-11
Business Address
SHERIE HELEN SQUIRES RD LD
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6131
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Mailing Address
SHERIE HELEN SQUIRES RD LD
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number:
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