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1003409913
JENNIFER LYTLE
MERIDIAN, ID
NPI
1003409913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 67384)
Enumeration Date
2021-02-11
Last Update Date
2021-09-02
Business Address
JENNIFER LYTLE FNP-C
3280 E LANARK DR
MERIDIAN, ID 83642-5982
Phone number: 208-895-8670
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Mailing Address
JENNIFER LYTLE FNP-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-985-1399
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