NPI Details | |
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NPI | 1013266741 |
Enumeration Date | 09/10/2012 |
Last Updated | 09/10/2012 |
Entity Type | Healthcare Provider |
Active | Over 5 years ago |
Authorized Information | |
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Name | ISMAEL MANUEL ISMAEL |
Position | MEMBER/MANAGER |
Phone | (208) 577-0876 |
Fax |
Practice Location | |
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1122 W FINCH DR NAMPA ID, 83651-1732, US |
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Phone | (208) 577-0876 |
Fax |
Business Location | |
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1122 W FINCH DR NAMPA ID, 83651-1732, US |
|
Phone | (208) 577-0876 |
Fax |
Toxanomy | |
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Taxonomy Code | 343900000X |
License State | |
License Number | |
Remove 1013266741 NPI Number |
According to our database, Blue Birds Specialty Services Llc NPI is 1013266741, taxonomy code is 343900000X Blue Birds Specialty Services Llc physically located at 1122 W Finch Dr, Nampa ID, 83651-1732. NPI Number 1033115704 has the healthcare provider type.
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1013266741 NPI number is provided on an as is basis without warranty of any kind. 1013266741 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Birds Specialty Services Llc are for informational purposes only.
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