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1992913446
LINDA M. HENRIKSON
BOISE, ID
NPI
1992913446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: ID OTA082)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- LINDA M. HENRIKSON cota l
1130 ALLUMBAUGH ST
BOISE, ID 83704-8700
Phone number: 208-854-8517
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Mailing Address
-- LINDA M. HENRIKSON cota l
6122 GLENCREST AVE
BOISE, ID 83714-6103
Phone number: 208-853-7788
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