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1790287563
IDAHO NUTRITION AND WELLNESS CLINIC
BOISE, ID
NPI
1790287563
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Entity Type
Organization
Authorized Contact
KELSEY L BERNIER
Owner, Registered Dietitian
208-789-9664
Organization Subpart ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2018-03-07
Last Update Date
2019-12-16
Business Address
IDAHO NUTRITION AND WELLNESS CLINIC
894 E BOISE AVE
BOISE, ID 83706-5122
Phone number: 208-789-9664
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Mailing Address
IDAHO NUTRITION AND WELLNESS CLINIC
894 E BOISE AVE
BOISE, ID 83706-5122
Phone number: 208-813-6015
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