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1922363720
DANIELLE V BRUNK
MERIDIAN, ID
NPI
1922363720
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Former Name
DANIELLE VAUGHN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP1184A)
Enumeration Date
2012-07-08
Last Update Date
2012-07-08
Business Address
-- DANIELLE V BRUNK NP
2347 E GALA ST
MERIDIAN, ID 83642-4881
Phone number: 208-323-3767
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Mailing Address
-- DANIELLE V BRUNK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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