NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1437219227
PSYCHOLOGY SERVICES OF IDAHO, PLLC
2365 E GALA ST
MERIDIAN
ID
836424881
1952319394
CHAMPION
JAMIE
RAE
2365 E GALA ST
MERIDIAN
ID
836424881
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