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1952700478
TIANA HERNANDEZ
NAMPA, ID
NPI
1952700478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID PN-15499)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
-- TIANA HERNANDEZ LPN
86 S ROLLING GREEN ST
NAMPA, ID 83687-8921
Phone number: 208-695-5356
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Mailing Address
-- TIANA HERNANDEZ LPN
86 S ROLLING GREEN ST
NAMPA, ID 83687-8921
Phone number: 208-695-5356
Copy
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