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1225860885
EMALIE BUMGARDNER
SMELTERVILLE, ID
NPI
1225860885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: ID I58719)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
EMALIE BUMGARDNER Pharm.D.
583 COMMERCE DRIVE
SMELTERVILLE, ID 83868-0000
Phone number: 208-783-2739
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Mailing Address
EMALIE BUMGARDNER Pharm.D.
PO BOX 1063
PINEHURST, ID 83850-1063
Phone number: 208-512-5693
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