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1407596547
VICTOR E. ONODJACHA
BOISE, ID
NPI
1407596547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 60121)
Enumeration Date
2022-03-29
Last Update Date
2022-03-30
Business Address
VICTOR E. ONODJACHA
8545 W FAIRVIEW AVE APT 108
BOISE, ID 83704-8911
Phone number: 208-473-1881
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Mailing Address
VICTOR E. ONODJACHA
8545 W FAIRVIEW AVE APT 108
BOISE, ID 83704-8911
Phone number: 208-473-1881
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