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1578950168
TRINIDAD BRIDGE
CALDWELL, ID
NPI
1578950168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID PN-8693)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
Mrs. TRINIDAD BRIDGE LPN
2909 S. 10TH AVENUE
CALDWELL, ID 83605
Phone number: 208-454-2766
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Mailing Address
Mrs. TRINIDAD BRIDGE LPN
PO BOX 245
KUNA, ID 83634-0245
Phone number: 208-859-6473
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