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1649539156
ALLIANCE FAMILY SERVICES
COEUR D ALENE, ID
NPI
1649539156
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Entity Type
Organization
Authorized Contact
TRACEY LANGE
Owner
208-265-8195
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2012-05-04
Last Update Date
2012-06-06
Business Address
ALLIANCE FAMILY SERVICES
1200 W IRONWOOD DR STE. 101
COEUR D ALENE, ID 83814-2660
Phone number: 208-664-9729
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Mailing Address
ALLIANCE FAMILY SERVICES
608 S DIVISION AVE
SANDPOINT, ID 83864-1749
Phone number: 208-265-8195
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