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1093101438
MERIDIAN FAMILY MEDICINE
POCATELLO, ID
NPI
1093101438
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Entity Type
Organization
Authorized Contact
NATALIA A DUNN
Owner
208-530-1087
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2015-04-13
Last Update Date
2015-04-30
Business Address
MERIDIAN FAMILY MEDICINE
444 HOSPITAL WAY ROOM 219
POCATELLO, ID 83209-2745
Phone number: 208-530-1087
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Mailing Address
MERIDIAN FAMILY MEDICINE
ISU RIDGE CRST APT L2
POCATELLO, ID 83209-0001
Phone number: 208-530-1087
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