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1487230983
LUCAS PAUL DONALDSON
BOISE, ID
NPI
1487230983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP1700X Registered Nurse, Perinatal
(Licence: ID 56025)
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
LUCAS PAUL DONALDSON
8796 W TILLAMOOK DR
BOISE, ID 83709-5876
Phone number: 208-861-5609
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Mailing Address
LUCAS PAUL DONALDSON
8796 W TILLAMOOK DR
BOISE, ID 83709-5876
Phone number: 208-861-5609
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