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1104309657
BRIGITTA PANTHER
BOISE, ID
NPI
1104309657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 59231)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
Miss BRIGITTA PANTHER PMHNP-BC
418 W REESE ST
BOISE, ID 83706-6233
Phone number: 208-571-0386
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Mailing Address
Miss BRIGITTA PANTHER PMHNP-BC
418 W REESE ST
BOISE, ID 83706-6233
Phone number: 208-571-0386
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