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1346067055
LADONNA WIEDENMAN
NAMPA, ID
NPI
1346067055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: ID 1477685550)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
LADONNA WIEDENMAN BS
915 PARKCENTRE WAY STE 7
NAMPA, ID 83651-1748
Phone number: 208-442-7791
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Mailing Address
LADONNA WIEDENMAN BS
915 PARKCENTRE WAY STE 7
NAMPA, ID 83651-1748
Phone number: 208-442-7791
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