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1790302594
DUMU PSYCHIATRY LLC
BOISE, ID
NPI
1790302594
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Entity Type
Organization
Authorized Contact
DUKE NYARECHA
Owner
208-376-2485
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
DUMU PSYCHIATRY LLC
9428 W FAIRVIEW AVE
BOISE, ID 83704-8101
Phone number: 208-376-2485
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Mailing Address
DUMU PSYCHIATRY LLC
9428 W FAIRVIEW AVE
BOISE, ID 83704-8101
Phone number:
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