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1023600871
DINA LIN MATTINGLY
BOISE, ID
NPI
1023600871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 63001)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
DINA LIN MATTINGLY
6933 W EMERALD ST
BOISE, ID 83704-8616
Phone number: 858-207-8790
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Mailing Address
DINA LIN MATTINGLY
330 W ANTON DR
MERIDIAN, ID 83646-2066
Phone number: 858-207-8861
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