SALLY KUPCHOCK

IDAHO FALLS, ID
NPI1063446094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP737A)
Enumeration Date2006-07-10
Last Update Date2007-11-30
Business Address
Ms. SALLY KUPCHOCK NP
1182 E 21ST ST
IDAHO FALLS, ID 83404-7003
Phone number: 208-227-6753
Mailing Address
Ms. SALLY KUPCHOCK NP
1182 E 21ST ST
IDAHO FALLS, ID 83404-7003
Phone number: 208-227-6753
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