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1376899278
DENISE R BAHADAR
MERIDIAN, ID
NPI
1376899278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1169A)
Enumeration Date
2012-07-28
Last Update Date
2022-03-24
Business Address
DENISE R BAHADAR NP
2061 N NYBORG WAY
MERIDIAN, ID 83646-1262
Phone number: 208-392-8383
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Mailing Address
DENISE R BAHADAR NP
2061 N NYBORG WAY
MERIDIAN, ID 83646-1262
Phone number: 208-392-8383
Copy
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