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1023417037
BRYCE CAMPBELL
REXBURG, ID
NPI
1023417037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1475A)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- BRYCE CAMPBELL
450 E MAIN ST
REXBURG, ID 83440
Phone number: 208-359-6900
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Mailing Address
-- BRYCE CAMPBELL
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6900
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