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Individual

VICKY BABCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9751 N GOVERNMENT WAY, SUITE 6, HAYDEN, ID 83835-9645
(208) 772-0964
(208) 772-7936
Mailing address
9751 N GOVERNMENT WAY, SUITE 6, HAYDEN, ID 83835-9645
(208) 772-0964
(208) 772-7936

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA-371
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002656800
ID
Enumeration date
07/13/2010
Last updated
07/13/2010
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