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1932566874
JACQUELINE BAGGS
NAMPA, ID
NPI
1932566874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53154)
Enumeration Date
2016-01-22
Last Update Date
2018-12-11
Business Address
JACQUELINE BAGGS
223 16TH AVE N
NAMPA, ID 83687-4058
Phone number: 208-467-7654
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Mailing Address
JACQUELINE BAGGS
1914 N 14TH ST
BOISE, ID 83702-1101
Phone number: 208-794-7075
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