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1023604089
SYDNEY ELIZABETH DISSELKAMP
POST FALLS, ID
NPI
1023604089
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Former Name
SYDNEY ELIZABETH CIEMBOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 63540)
Enumeration Date
2020-12-14
Last Update Date
2024-08-22
Business Address
SYDNEY ELIZABETH DISSELKAMP FNP
1551 E MULLAN AVE STE 200B
POST FALLS, ID 83854-9005
Phone number: 208-262-2213
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Mailing Address
SYDNEY ELIZABETH DISSELKAMP FNP
1593 E POLSTON AVE
POST FALLS, ID 83854-5326
Phone number: 208-262-2300
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