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Carol Pangburn
NPI 1205978095 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3042 S Whitepost Way
Eagle, ID 83616 - Phone
- (208) 939-7514
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho