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1649001116
DANIEL BAWCOM
BOISE, ID
NPI
1649001116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 64218)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
DANIEL BAWCOM RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
DANIEL BAWCOM RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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