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1366180762
PENI VALDEZ
BOISE, ID
NPI
1366180762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: ID 38912)
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
PENI VALDEZ RN
500 W FORT ST
BOISE, ID 83702-4599
Phone number: 208-422-1000
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Mailing Address
PENI VALDEZ RN
614 S WESTON CREEK LOOP
NAMPA, ID 83686-5961
Phone number: 208-963-0046
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