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1699429910
TANYA NICHOLS
BOISE, ID
NPI
1699429910
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Other Name
TANYA S WATFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: ID PSY-203556)
Enumeration Date
2022-02-06
Last Update Date
2022-02-06
Business Address
-- TANYA NICHOLS
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
-- TANYA NICHOLS
1018 N WEBB WAY UNIT I104
MERIDIAN, ID 83642-8369
Phone number: 337-501-7341
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