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1700642840
WILDFLOWER WELLNESS, LLC
POCATELLO, ID
NPI
1700642840
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Entity Type
Organization
Authorized Contact
MISITY D OLSEN
Owner
208-251-6789
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
WILDFLOWER WELLNESS, LLC
200 S MAIN ST STE P3
POCATELLO, ID 83204-3261
Phone number: 208-251-6789
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Mailing Address
WILDFLOWER WELLNESS, LLC
200 S MAIN ST STE P3
POCATELLO, ID 83204-3261
Phone number: 208-251-6789
Copy
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