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1982349783
JENNIFER HERDT
CALDWELL, ID
NPI
1982349783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: CA 224927)
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
JENNIFER HERDT
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605-5100
Phone number: 208-454-4820
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Mailing Address
JENNIFER HERDT
4521 THOMAS JEFFERSON ST
CALDWELL, ID 83605-5100
Phone number:
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