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1831760115
ALISSA T MCCULLOUGH
BOISE, ID
NPI
1831760115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
ALISSA T MCCULLOUGH RDN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
ALISSA T MCCULLOUGH RDN
3202 W GOOD ST
BOISE, ID 83703-5546
Phone number: 208-999-6466
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