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1023837390
SALINA THETFORD
IDAHO FALLS, ID
NPI
1023837390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 9661379)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
SALINA THETFORD
2001 S WOODRUFF AVE STE 4
IDAHO FALLS, ID 83404-6371
Phone number: 208-419-3271
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Mailing Address
SALINA THETFORD
315 LUV PL
AMMON, ID 83406-4511
Phone number:
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