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1487229324
NICHOLAS B HENRIE
COTTONWOOD, ID
NPI
1487229324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M-16853)
Enumeration Date
2021-05-24
Last Update Date
2024-06-17
Business Address
NICHOLAS B HENRIE MD
701 LEWISTON ST
COTTONWOOD, ID 83522-9750
Phone number: 208-962-3267
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Mailing Address
NICHOLAS B HENRIE MD
701 LEWISTON ST
COTTONWOOD, ID 83522-9750
Phone number: 208-962-3267
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