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Organization
CELEBRATE LIFE WELLNESS
Active
Organization
CELEBRATE LIFE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY GAURON (OFFICE MANAGER)
(208) 376-5433
Entity
Organization
Contact information
Practice address
7750 W CRESTWOOD DR, BOISE, ID 83704-3000
(208) 376-5433
Mailing address
7750 W CRESTWOOD DR, BOISE, ID 83704-3000
(208) 376-5433
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C0610
ID
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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