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1780134627
EVEVANNE HOTTEL
BOISE, ID
NPI
1780134627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-441)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
-- EVEVANNE HOTTEL RD, LD, CNSC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-318-2138
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Mailing Address
-- EVEVANNE HOTTEL RD, LD, CNSC
332 VANBUREN
TWIN FALLS, ID 83301
Phone number: 208-241-3160
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