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1205241650
MANDY KAY RENAK
CALDWELL, ID
NPI
1205241650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP1439A)
Enumeration Date
2014-06-24
Last Update Date
2014-06-24
Business Address
-- MANDY KAY RENAK FNP-C
13307 MIAMI LN
CALDWELL, ID 83607-4701
Phone number: 208-455-5345
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Mailing Address
-- MANDY KAY RENAK FNP-C
13307 MIAMI LN
CALDWELL, ID 83607-4701
Phone number: 208-455-5345
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