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1861001687
JCW PSYCHIATRY PLLC
BOISE, ID
NPI
1861001687
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Entity Type
Organization
Authorized Contact
CHERI PETERSON
Credentialer
208-954-5594
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
JCW PSYCHIATRY PLLC
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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Mailing Address
JCW PSYCHIATRY PLLC
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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