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1063834224
JERRI L BINGHAM
TWIN FALLS, ID
NPI
1063834224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP-1388A)
Enumeration Date
2014-01-07
Last Update Date
2014-09-05
Business Address
-- JERRI L BINGHAM
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-1000
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Mailing Address
-- JERRI L BINGHAM
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-814-1000
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