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1881722171
IDAHODHWBH3 NP
CALDWELL, ID
NPI
1881722171
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Entity Type
Organization
Authorized Contact
TODD L HURT
Field Operations Manager
208-455-7057
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2007-03-01
Last Update Date
2009-11-02
Business Address
IDAHODHWBH3 NP
3402 FRANKLIN RD
CALDWELL, ID 83605-6932
Phone number: 208-459-0092
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Mailing Address
IDAHODHWBH3 NP
3402 FRANKLIN RD
CALDWELL, ID 83605-6932
Phone number: 208-459-0092
Copy
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