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1730279407
BRYCE AITKEN
BOISE, ID
NPI
1730279407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP756A)
Enumeration Date
2006-10-13
Last Update Date
2010-07-16
Business Address
Mr. BRYCE AITKEN NP C
6560 S FEDERAL WAY
BOISE, ID 83716-9277
Phone number: 208-336-1645
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Mailing Address
Mr. BRYCE AITKEN NP C
3340 E GOLDSTONE
MERIDIAN, ID 83642-1026
Phone number: 208-367-5170
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