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1821344367
STATE AVENUE OFFICES
MERIDIAN, ID
NPI
1821344367
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Entity Type
Organization
Authorized Contact
CAMILLA J CAFFERTY
Owner
208-994-3599
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2012-08-02
Last Update Date
2012-10-09
Business Address
STATE AVENUE OFFICES
39 E STATE AVE
MERIDIAN, ID 83642-2342
Phone number: 208-994-3599
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Mailing Address
STATE AVENUE OFFICES
39 E STATE AVE
MERIDIAN, ID 83642-2342
Phone number: 208-994-3599
Copy
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