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1790250884
ELIZABETH OLDENKAMP
BOISE, ID
NPI
1790250884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1643)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
ELIZABETH OLDENKAMP PA-C
10583 W LAKE HAZEL RD
BOISE, ID 83709-6326
Phone number: 208-302-5950
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Mailing Address
ELIZABETH OLDENKAMP PA-C
3390 E PARSNIP PEAK DR
BOISE, ID 83716-6987
Phone number: 208-860-9083
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