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1801218359
KRISTA BROWN
BOISE, ID
NPI
1801218359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-603)
Enumeration Date
2014-01-16
Last Update Date
2014-10-15
Business Address
-- KRISTA BROWN RD, LD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-7081
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Mailing Address
-- KRISTA BROWN RD, LD
8860 W EVENING STAR LN
BOISE, ID 83709-5306
Phone number: 208-381-7081
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