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1720797657
EMILY RENEE WITTENBERG
CALDWELL, ID
NPI
1720797657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 65681)
Enumeration Date
2022-11-18
Last Update Date
2022-11-18
Business Address
EMILY RENEE WITTENBERG
2609 S 10TH AVE STE 102
CALDWELL, ID 83605-6885
Phone number: 208-454-2766
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Mailing Address
EMILY RENEE WITTENBERG
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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