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1952815623
LIVE WELL HEALTH AND NUTRITION PLLC
BOISE, ID
NPI
1952815623
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Entity Type
Organization
Authorized Contact
DENISE BAHADAR
Np, Owner
208-861-4677
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2017-11-16
Last Update Date
2017-11-16
Business Address
LIVE WELL HEALTH AND NUTRITION PLLC
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713-1067
Phone number: 208-392-8383
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Mailing Address
LIVE WELL HEALTH AND NUTRITION PLLC
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713-1067
Phone number: 208-392-8383
Copy
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