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1407177637
SAMANTHA JD BAAB
CHUBBUCK, ID
NPI
1407177637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID NP-982A)
Enumeration Date
2010-06-22
Last Update Date
2011-12-12
Business Address
SAMANTHA JD BAAB NP-C
134 W CHUBBUCK RD
CHUBBUCK, ID 83202-2315
Phone number: 208-237-7911
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Mailing Address
SAMANTHA JD BAAB NP-C
134 W CHUBBUCK RD
CHUBBUCK, ID 83202-2315
Phone number: 208-237-7911
Copy
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