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1972079820
PENNY S MCCLAIN
NAMPA, ID
NPI
1972079820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-53246)
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
PENNY S MCCLAIN NP
207 1ST ST S
NAMPA, ID 83651-3703
Phone number: 208-466-7869
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Mailing Address
PENNY S MCCLAIN NP
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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