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1821551359
KATIE VANCLEAVE
COEUR D ALENE, ID
NPI
1821551359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: ID O-1803)
Enumeration Date
2019-04-11
Last Update Date
2024-07-16
Business Address
KATIE VANCLEAVE DO
980 W IRONWOOD DR STE 306
COEUR D ALENE, ID 83814-2668
Phone number: 208-625-4970
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Mailing Address
KATIE VANCLEAVE DO
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4970
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