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1144950353
AMY L BACCA
BOISE, ID
NPI
1144950353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: ID 67616)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
AMY L BACCA APRN AGCNS-BC
720 E PARK BLVD STE 260
BOISE, ID 83712-7765
Phone number: 208-381-6879
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Mailing Address
AMY L BACCA APRN AGCNS-BC
4300 N STRATFORD DR
BOISE, ID 83704-3356
Phone number: 208-447-7138
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