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1013493576
KATLIN NICOLE FOOTE
FRUITLAND, ID
NPI
1013493576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 59250)
Enumeration Date
2018-07-17
Last Update Date
2023-12-29
Business Address
KATLIN NICOLE FOOTE FNP
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Phone number: 208-452-8000
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Mailing Address
KATLIN NICOLE FOOTE FNP
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-452-8000
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