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Carolyn Christine Foreman

NPI Registration Record

Provider / OrganizationNPIDate Certified
CAROLYN CHRISTINE FOREMAN13761523892020-07-26
Entity TypeIndividual
Provider Name Carolyn Christine Foreman
Practice Office Address1406 CHERRY ST
CALDWELL, ID US
Practice Office Telephone2087949678
Mailing Address1406 CHERRY ST
CALDWELL, ID 836055837 US
Business Telephone2087949678
HPT Codes
CodeLicense NoState
106S00000X PRIMARY
OPI Codes

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