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1457033870
HEIDI PAINE
BOISE, ID
NPI
1457033870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 55991)
Enumeration Date
2023-08-04
Last Update Date
2023-09-21
Business Address
HEIDI PAINE
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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Mailing Address
HEIDI PAINE
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704-9219
Phone number: 208-323-1125
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