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1972282416
KIMBERLY WEGENER
NAMPA, ID
NPI
1972282416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: ID SE-203820)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
KIMBERLY WEGENER PSYD
9850 W ST LUKES DR STE 329
NAMPA, ID 83687-7912
Phone number: 208-514-2509
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Mailing Address
KIMBERLY WEGENER PSYD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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