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1821003708
AMMARA, INC.
PONDERAY, ID
NPI
1821003708
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Entity Type
Organization
Authorized Contact
KATHY GAVIN
Owner
208-263-1345
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID NP-257A)
Enumeration Date
2006-07-29
Last Update Date
2020-08-22
Business Address
AMMARA, INC.
30410 HIGHWAY 200
PONDERAY, ID 83852-9601
Phone number: 208-263-1345
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Mailing Address
AMMARA, INC.
30410 HIGHWAY 200
PONDERAY, ID 83852-9601
Phone number: 208-263-1345
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