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1073049235
KLAAS VANDEN BELD
MERIDIAN, ID
NPI
1073049235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 55455)
Enumeration Date
2017-05-10
Last Update Date
2024-04-22
Business Address
KLAAS VANDEN BELD NP
3277 E. LOUISE DR. PORTICO WEST, SUITE 410
MERIDIAN, ID 83642
Phone number: 208-489-5800
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Mailing Address
KLAAS VANDEN BELD NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8752
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