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1104489343
DIMITRI SHCHADENKO
BOISE, ID
NPI
1104489343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010927)
Enumeration Date
2019-04-14
Last Update Date
2024-11-26
Business Address
DIMITRI SHCHADENKO FNP
1000 N CURTIS RD STE 105
BOISE, ID 83706-1345
Phone number: 650-284-6595
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Mailing Address
DIMITRI SHCHADENKO FNP
2885 NW 10TH AVE
MERIDIAN, ID 83646-3159
Phone number:
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