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1609396282
SHAUNA LACOW
MERIDIAN, ID
NPI
1609396282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 55964)
Enumeration Date
2017-06-23
Last Update Date
2017-06-23
Business Address
SHAUNA LACOW
1525 E LEIGHFIELD DR # 150
MERIDIAN, ID 83646-5371
Phone number: 208-888-1199
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Mailing Address
SHAUNA LACOW
1525 E LEIGHFIELD DR # 150
MERIDIAN, ID 83646-5371
Phone number:
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