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Sagean Daw
Private Vehicle in Chubbuck, Idaho
NPI 1114451390

Sagean Daw is a Private Vehicle based in Chubbuck, ID. Sagean Daw practices in Chubbuck, ID. The NPI Number for Sagean Daw is 1114451390 and holds a License No. EA126126I (Idaho).

The current practice location address for Sagean Daw is 1624 Angela St, Chubbuck, ID and can be reached out via phone at 208-680-8637. You can also correspond with Sagean Daw through the mailing address at 1624 ANGELA ST, CHUBBUCK, ID - 83202-4100 (mailing address contact number: 208-680-8637).

Location: 1624 Angela St, Chubbuck, ID, 83202-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114451390
Provider Name
Sagean Daw
Credential
Provider Entity Type
Individual
Gender
Male
Address
1624 Angela St, Chubbuck, ID, 83202-4100
Phone Number
208-680-8637
Fax Number
Provider Enumeration Date
04/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1624 Angela St
City
Chubbuck
State
Idaho
Zip
83202-4100
Phone Number
208-680-8637
Fax Number
person
Provider Business Mailing Address Details
Address
1624 Angela St
City
Chubbuck
State
Idaho
Zip
83202-4100
Phone Number
208-680-8637
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
EA126126I (Idaho)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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