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Individual

MINDY LEE DEGEUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
39 W PINE AVE STE B20, MERIDIAN, ID 83642-2412
(208) 286-8670
(888) 990-2969
Mailing address
16564 SADIE AVE, CALDWELL, ID 83607-1476
(208) 515-6072
(888) 990-2969

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62731
ID

Other

Enumeration date
10/11/2019
Last updated
12/15/2020
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