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1043074537
MELISA STACEY WEBB
IDAHO FALLS, ID
NPI
1043074537
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Former Name
MELISA HARRAL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 64774)
Enumeration Date
2024-02-06
Last Update Date
2024-02-08
Business Address
MELISA STACEY WEBB NP
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-535-8448
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Mailing Address
MELISA STACEY WEBB NP
1830 VIOLA DR
IDAHO FALLS, ID 83401-6028
Phone number: 208-497-9768
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