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1912623877
STEPHAN MANGEAC
NAMPA, ID
NPI
1912623877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
STEPHAN MANGEAC
918 W GREENHURST RD
NAMPA, ID 83686-2918
Phone number: 208-412-9263
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Mailing Address
STEPHAN MANGEAC
918 W GREENHURST RD
NAMPA, ID 83686-2918
Phone number: 208-412-9263
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