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1740663657
MEREDITH MANGUM
BOISE, ID
NPI
1740663657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID NP-1579A)
Enumeration Date
2015-07-09
Last Update Date
2021-09-30
Business Address
MEREDITH MANGUM FNP-C
608 S PHILLIPPI ST
BOISE, ID 83705-1160
Phone number: 208-580-8888
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Mailing Address
MEREDITH MANGUM FNP-C
608 S PHILLIPPI ST
BOISE, ID 83705-1160
Phone number: 208-580-8888
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