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1902300437
KUNAL NAMBALLA
MOUNTAIN HOME AFB, ID
NPI
1902300437
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801102208)
Enumeration Date
2018-03-20
Last Update Date
2023-07-11
Business Address
KUNAL NAMBALLA LMSW
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7900
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Mailing Address
KUNAL NAMBALLA LMSW
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7900
Copy
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