KATHY GAVIN

PONDERAY, ID
NPI1770598559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP-257A)
Enumeration Date2006-07-30
Last Update Date2007-12-13
Business Address
-- KATHY GAVIN FNP
30410 HIGHWAY 200
PONDERAY, ID 83852-9601
Phone number: 208-263-1345
Mailing Address
-- KATHY GAVIN FNP
30410 HIGHWAY 200
PONDERAY, ID 83852-9601
Phone number: 208-263-1345
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