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1114447406
BRANDI JO SMITH
IDAHO FALLS, ID
NPI
1114447406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 56069)
Enumeration Date
2017-06-27
Last Update Date
2022-07-21
Business Address
BRANDI JO SMITH APRN-CNP
2860 CHANNING WAY SUITE 115
IDAHO FALLS, ID 83404
Phone number: 208-529-7283
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Mailing Address
BRANDI JO SMITH APRN-CNP
2860 CHANNING WAY STE 115
IDAHO FALLS, ID 83404-7532
Phone number: 208-529-7283
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