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1396728416
CARLA J GENTRY
HAYDEN, ID
NPI
1396728416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP566A)
Enumeration Date
2005-11-22
Last Update Date
2007-07-08
Business Address
Mrs. CARLA J GENTRY NP
8181 CORNERSTONE DR
HAYDEN, ID 83835
Phone number: 208-772-0785
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Mailing Address
Mrs. CARLA J GENTRY NP
8181 CORNERSTONE DR
HAYDEN, ID 83835
Phone number: 208-772-0785
Copy
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