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1740010255
EMBER MICHELLE TISDALE
JEROME, ID
NPI
1740010255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
MS. EMBER MICHELLE TISDALE
130 S LINCOLN AVE
JEROME, ID 83338-2631
Phone number: 208-944-4679
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Mailing Address
MS. EMBER MICHELLE TISDALE
130 S LINCOLN AVE
JEROME, ID 83338-2631
Phone number: 208-944-4679
Copy
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