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1982070108
VALERIE JOHNSON
BOISE, ID
NPI
1982070108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: ID LRT-1383)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- VALERIE JOHNSON
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
-- VALERIE JOHNSON
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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