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1760049217
BARBARA GORDON
BOISE, ID
NPI
1760049217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-861)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
BARBARA GORDON
2723 N LAKEHARBOR LN
BOISE, ID 83703-6240
Phone number: 208-608-8082
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Mailing Address
BARBARA GORDON
2723 N LAKEHARBOR LN
BOISE, ID 83703-6240
Phone number: 208-608-8082
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