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1124569108
PATRICIA STADLER
CHUBBUCK, ID
NPI
1124569108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 53856)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- PATRICIA STADLER FNP-C
570 REDMAN ST
CHUBBUCK, ID 83202-2671
Phone number: 602-703-4196
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Mailing Address
-- PATRICIA STADLER FNP-C
570 REDMAN ST
CHUBBUCK, ID 83202-2671
Phone number:
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