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Managed Care Organizations at Chinden Blvd, Boise, ID

License number
Idaho D4161
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: KIMBERLY DAWN SMITH
Title: MANAGER
Phone: (208) 376-7413
Address
Address
11311 W Chinden Blvd, Boise, ID 83714
National Provider ID: 1831468651
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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