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1255908489
LENARD L MALMIN
NAMPA, ID
NPI
1255908489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 67470)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
LENARD L MALMIN CNP
3609 E WICKLOW AVE
NAMPA, ID 83686-1405
Phone number: 208-697-7781
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Mailing Address
LENARD L MALMIN CNP
3609 E WICKLOW AVE
NAMPA, ID 83686-1405
Phone number: 208-697-7781
Copy
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