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Individual

CHERYL K SOBBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
211 E LOGAN ST, SUITE 303, CALDWELL, ID 83605-0000
(208) 459-4667
(208) 459-3372
Mailing address
305 W SPRUCE ST, CALDWELL, ID 83605-6296
(208) 459-4667
(208) 459-3372

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
N9516
ID
363LF0000X
Family Nurse Practitioner
N9516
ID
363LF0000X
Family Nurse Practitioner
Primary
NP 344A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805039300
ID
Enumeration date
05/24/2006
Last updated
03/02/2009
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