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1790288124
KELLY KATHLEEN OTOOLE WOOD
BOISE, ID
NPI
1790288124
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Former Name
KELLY KATHLEEN O'TOOLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-460)
Enumeration Date
2018-03-12
Last Update Date
2023-11-28
Business Address
Miss KELLY KATHLEEN OTOOLE WOOD RDN, LDN
6126 W STATE ST
BOISE, ID 83703-2741
Phone number: 208-407-8921
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Mailing Address
Miss KELLY KATHLEEN OTOOLE WOOD RDN, LDN
13447 N 2ND AVE
BOISE, ID 83714-9409
Phone number: 208-407-8921
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