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1194129411
PENNY R BUCKLAND
BOISE, ID
NPI
1194129411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP1459A)
Enumeration Date
2014-10-15
Last Update Date
2024-11-12
Business Address
PENNY R BUCKLAND
8050 W RIFLEMAN ST
BOISE, ID 83704-9004
Phone number: 877-522-1275
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Mailing Address
PENNY R BUCKLAND
P.O. BOX 367 111 BEVER GRADE
LAPWAI, ID 83540
Phone number:
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