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1093342834
CLAYTON HAWKS
MERIDIAN, ID
NPI
1093342834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID CNP-63794)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
CLAYTON HAWKS NP
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-5930
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Mailing Address
CLAYTON HAWKS NP
3709 W MORRIS HILL RD
BOISE, ID 83706-2643
Phone number: 208-869-5105
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