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1710523436
TABITHA MCGOVERN
BAYVIEW, ID
NPI
1710523436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
TABITHA MCGOVERN
16275 E 1ST ST
BAYVIEW, ID 83803-9792
Phone number: 208-651-5950
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Mailing Address
TABITHA MCGOVERN
16275 E 1ST ST
BAYVIEW, ID 83803-9792
Phone number: 208-651-5950
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