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1043730302
LESLEY D. GOULDING
TWIN FALLS, ID
NPI
1043730302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 55516)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
LESLEY D. GOULDING FNP-BC
775 POLE LINE RD W STE 302
TWIN FALLS, ID 83301-5823
Phone number: 208-814-8740
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Mailing Address
LESLEY D. GOULDING FNP-BC
PO BOX 25
CHESTER, ID 83421-0025
Phone number: 208-390-1923
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