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Individual

PAULA IONE DAHLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
F-NP

Contact information

Practice address
9334 N KAYLA CT, HAYDEN LAKE, ID 83835-8239
(208) 772-8553
Mailing address
9334 N KAYLA CT, HAYDEN, ID 83835-8239
(208) 915-0299
(208) 625-2070

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA191
ID
363LF0000X
Family Nurse Practitioner
Primary
646
ID

Other

Enumeration date
05/17/2006
Last updated
05/25/2023
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