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1750999082
CLARISSA JO BAXTER
NAMPA, ID
NPI
1750999082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: ID MID-106)
Enumeration Date
2020-07-22
Last Update Date
2020-07-28
Business Address
Mrs. CLARISSA JO BAXTER
2910 E CASTLEBERG LOOP
NAMPA, ID 83686-7196
Phone number: 208-800-1948
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Mailing Address
Mrs. CLARISSA JO BAXTER
2910 E CASTLEBERG LOOP
NAMPA, ID 83686-7196
Phone number:
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