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I DA H 0 DEPARTMENT OF HEALTH & WELFARE C.L. “BUTCH OTHER Governor RICHARD M. ARMSTRONG Director TAMARA PRISOCKADMINISTRATOR LICENSING & CERTIFICATION DEBBY RANSOM, R.N., R.H.l. T Chief BUREAU OF
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01-22-16 - idaho department is a specific form required by the Idaho Department for reporting certain information.
Entities or individuals as specified by the Idaho Department are required to file 01-22-16 form.
To fill out 01-22-16 form, you need to gather all the required information and follow the instructions provided by the Idaho Department.
The purpose of 01-22-16 form is to collect specific information determined by the Idaho Department for regulatory or reporting purposes.
The specific information that must be reported on 01-22-16 form is determined by the Idaho Department and may vary based on the entity or individual filing the form.
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