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1932811296
COMPLETE EMBODIMENT WELLNESS
BOISE, ID
NPI
1932811296
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Entity Type
Organization
Authorized Contact
TONI BENNETT
Credentialing Specialist
208-810-2319
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-12-19
Last Update Date
2023-05-16
Business Address
COMPLETE EMBODIMENT WELLNESS
7683 W EMERALD ST
BOISE, ID 83704-9018
Phone number: 208-376-2522
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Mailing Address
COMPLETE EMBODIMENT WELLNESS
PO BOX 44124
BOISE, ID 83711-0124
Phone number: 208-384-9022
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