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1215772066
AVANT-GARDE HEALTHCARE PLLC
COEUR D ALENE, ID
NPI
1215772066
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Entity Type
Organization
Authorized Contact
MANUELA ORBAN
Owner
909-801-1533
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
AVANT-GARDE HEALTHCARE PLLC
6240 N CEZANNE DR
COEUR D ALENE, ID 83815-9132
Phone number: 909-801-1533
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Mailing Address
AVANT-GARDE HEALTHCARE PLLC
6240 N CEZANNE DR
COEUR D ALENE, ID 83815-9132
Phone number: 909-801-1533
Copy
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