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1790343127
CARLY RUTH METCALF
BOISE, ID
NPI
1790343127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-1129)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
CARLY RUTH METCALF RD, LD
3562 S TK AVE
BOISE, ID 83705-5278
Phone number: 907-854-0612
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Mailing Address
CARLY RUTH METCALF RD, LD
445 E 50TH ST APT D304
GARDEN CITY, ID 83714-1425
Phone number: 907-854-0612
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