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AURUM LLC

Organization (NPI-2) Active

Nurse Practitioner, Gerontology

Provider Information

NPI Number
1104705953
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
11696 W GABRIELLE CT, BOISE, ID, 837137812
Phone
(718) 362-1411
Fax
(718) 362-1651

Specialties & Taxonomies

Nurse Practitioner, Gerontology Primary

All Addresses

MAILING

612 CORPORATE WAY STE 2M

VALLEY COTTAGE, NY, 109892027

(718) 362-1411

LOCATION

11696 W GABRIELLE CT

BOISE, ID, 837137812

(718) 362-1411