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1013915164
BETH ELAINE LANDIS
EAGLE, ID
NPI
1013915164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID N-34045)
Enumeration Date
2005-07-12
Last Update Date
2010-07-02
Business Address
Ms. BETH ELAINE LANDIS NP
1540 E RIVERS END CT
EAGLE, ID 83616-6390
Phone number: 208-939-6030
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Mailing Address
Ms. BETH ELAINE LANDIS NP
1540 E RIVERS END CT
EAGLE, ID 83616-6390
Phone number: 208-939-6030
Copy
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