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4405 E Flamingo Ave Nampa ID 83687-3113 | |
| (208) 899-4042 | |
| (208) 899-4043 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4405 E Flamingo Ave, Nampa, Idaho |
| Authorized Official Name and Position | Gregory Dunkley (OWNER) |
| Authorized Official Contact | 2089214129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3288 E Pine Ave Meridian ID 83642-5922 Ph: (208) 921-4129 | 4405 E Flamingo Ave Nampa ID 83687-3113 Ph: (208) 899-4042 |
| NPI Number | 1235524661 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235524661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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