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BOISE, ID
NPI1710192646
Entity TypeOrganization
Authorized ContactGEORGE RODGERS
Director
208-336-4504
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2007-05-14
Last Update Date2020-08-22
Business Address
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1111 S ORCHARD ST SUITE 650
BOISE, ID 83705-1966
Phone number: 208-336-4504
Mailing Address
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PO BOX 7786
BOISE, ID 83707-1786
Phone number: