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Organization

KHIALE HARVARD

Active
Other names
Ivony Case Management
Organization subpart
No

Provider details

NPI number
Authorized official
KHIALE HARVARD (OWNER)
(208) 571-4018
Entity
Organization

Contact information

Practice address
811 12TH AVE S # 2, NAMPA, ID 83651-4656
(208) 571-4018
Mailing address
12384 S ABBOTT DOWNING WAY, NAMPA, ID 83686-5693
(208) 571-4018

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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