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1962445817
HEATHER SHAW
TWIN FALLS, ID
NPI
1962445817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-309)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
-- HEATHER SHAW
650 ADDISON AVE W
TWIN FALLS, ID 83301-5444
Phone number: 208-732-3429
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Mailing Address
-- HEATHER SHAW
PO BOX 409
TWIN FALLS, ID 83303-0409
Phone number: 208-732-3429
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