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1780328393
AMANDA BOLIN
FRUITLAND, ID
NPI
1780328393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 72434)
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
AMANDA BOLIN FNP-C
1118 NW 16TH ST STE D
FRUITLAND, ID 83619-2272
Phone number: 208-452-7677
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Mailing Address
AMANDA BOLIN FNP-C
1839 HOOD RD
VALE, OR 97918-5370
Phone number: 541-212-2744
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