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1811053689
SONIA L HEIDINGER
BOISE, ID
NPI
1811053689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: ID PT-1140)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
MS. SONIA L HEIDINGER PT
10790 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-322-8709
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Mailing Address
MS. SONIA L HEIDINGER PT
10790 W OVERLAND RD
BOISE, ID 83709-1329
Phone number: 208-322-8709
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