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1710163456
STACEY CARDA
BOISE, ID
NPI
1710163456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: ID 100543)
Enumeration Date
2008-01-11
Last Update Date
2008-01-11
Business Address
-- STACEY CARDA
341 E BANNOCK ST
BOISE, ID 83712-6208
Phone number: 208-342-8180
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Mailing Address
-- STACEY CARDA
341 E BANNOCK ST
BOISE, ID 83712-6208
Phone number: 208-342-8180
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