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1548493521
BRENDA BERGHOLM
SODA SPRINGS, ID
NPI
1548493521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SA2200X Clinical Nurse Specialist Adult Health
(Licence: ID CNS-47A)
Enumeration Date
2009-08-25
Last Update Date
2009-08-25
Business Address
BRENDA BERGHOLM MSN, ACNS-BC
300 S 3RD W
SODA SPRINGS, ID 83276-1559
Phone number: 208-547-3341
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Mailing Address
BRENDA BERGHOLM MSN, ACNS-BC
300 S 3RD W
SODA SPRINGS, ID 83276-1559
Phone number: 208-547-3341
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