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Individual

CALEB JAMES CELUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641
Mailing address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 459-4641

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62560
ID

Other

Enumeration date
01/20/2023
Last updated
01/20/2023
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