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STACI ELLIS, LMT

LMT

Specialist

NPI: 1639519044Individual

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

MASG-217(ID)

Contact & Hours

Address
1529 BELMONT ST
BOISE, ID 83725

Quick Facts

NPI
1639519044
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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