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Organization

COUNTY OF BOISE 71 GARDEN VALLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD LEVESQUE (OPERATIONS MANAGER)
(208) 922-9300
Entity
Organization

Contact information

Practice address
1076 BANKS LOWMAN RD, GARDEN VALLEY, ID 83622-5015
(208) 462-3756
Mailing address
1076 BANKS LOWMAN RD, GARDEN VALLEY, ID 83622-5015
(208) 462-3756

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
ID

Other

Enumeration date
02/23/2009
Last updated
02/23/2009
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