BRANDY PUGMIRE

FORT HALL, ID
NPI1689816563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN 14030)
Enumeration Date2009-03-24
Last Update Date2009-03-24
Business Address
-- BRANDY PUGMIRE PN
717 MISSION RD
FORT HALL, ID 83203-0717
Phone number: 208-238-2400
Mailing Address
-- BRANDY PUGMIRE PN
PO BOX 306
FORT HALL, ID 83203-0306
Phone number: 208-238-2400
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