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Individual

ERIC GARCIA GAITAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 368-3262
Mailing address
2605 E BEECH ST, CALDWELL, ID 83605-6685
(208) 421-8619

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/16/2021
Last updated
01/14/2025
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