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1154192995
BERNIECE DELUCA
NAMPA, ID
NPI
1154192995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 65189)
Enumeration Date
2024-01-10
Last Update Date
2024-09-06
Business Address
BERNIECE DELUCA APRN-CNP
85 S MIDDLETON RD
NAMPA, ID 83651-1526
Phone number: 208-505-2800
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Mailing Address
BERNIECE DELUCA APRN-CNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8752
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