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1487307468
IDAHO ADVANCED MEDICAL CARE LLC
BOISE, ID
NPI
1487307468
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Entity Type
Organization
Authorized Contact
DAVID COOPER
Owner
818-915-4545
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2022-01-31
Last Update Date
2022-03-21
Business Address
IDAHO ADVANCED MEDICAL CARE LLC
13150 W PERSIMMON LN
BOISE, ID 83713-1986
Phone number: 818-915-4545
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Mailing Address
IDAHO ADVANCED MEDICAL CARE LLC
13150 W PERSIMMON LN
BOISE, ID 83713-1986
Phone number:
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