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1679355036
HAZEL HEALTHCARE LLC
MERIDIAN, ID
NPI
1679355036
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Entity Type
Organization
Authorized Contact
LAURA D CARTER
Owner, CEO
208-906-2558
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2023-10-19
Last Update Date
2024-01-19
Business Address
HAZEL HEALTHCARE LLC
2584 N STOKESBERRY PL
MERIDIAN, ID 83646-1144
Phone number: 208-412-6905
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Mailing Address
HAZEL HEALTHCARE LLC
2584 N STOKESBERRY PL
MERIDIAN, ID 83646-1144
Phone number: 208-906-2558
Copy
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