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1780096743
ABEL GRIMALDO
BOISE, ID
NPI
1780096743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-32768)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
-- ABEL GRIMALDO LMSW
1910 UNIVERSITY DR
BOISE, ID 83725-1351
Phone number: 208-426-1459
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Mailing Address
-- ABEL GRIMALDO LMSW
1529 BELMONT STREET
BOISE, ID 83706
Phone number:
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