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Individual

JOHN-MINH NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 706-6375
(208) 706-6395
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101021384
MI
2084P0800X
Psychiatry Physician
Primary
O-1139
ID

Other

Enumeration date
06/21/2014
Last updated
11/11/2024
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