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Individual

GABRIELLE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1031 W SANETTA ST, NAMPA, ID 83651-5047
(208) 466-7443
Mailing address
1663 W CESAR CHAVEZ LN # 414, BOISE, ID 83706-3003
(248) 403-6099

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ID

Other

Enumeration date
07/02/2020
Last updated
07/02/2020
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Product
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  • Eligibility checks
  • EDI platform