Provider Information for 1841065638
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Mrs. JULIE ANDERSON DENNIS
Sex: Female
NPI: 1841065638
Last Updated: 2023-11-21
Certification Date: 2023-11-21
Certification Date: 2023-11-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841065638 | ||||||||
| Enumeration Date | 2023-11-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 302 ALEXANDER WAY SANDPOINT, ID 83864-8696 United States Phone: 926-683-2399 | Fax: | ||||||||
| Primary Practice Address | 302 ALEXANDER WAY SANDPOINT, ID 83864-8696 United States Phone: 926-683-2399 | Fax: | ||||||||
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