AUDREY DALLEY

IDAHO FALLS, ID
NPI1144330374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN8030)
Enumeration Date2006-08-30
Last Update Date2007-07-09
Business Address
-- AUDREY DALLEY LPN
496 A ST
IDAHO FALLS, ID 83402-3617
Phone number: 208-552-7100
Mailing Address
-- AUDREY DALLEY LPN
299 JEFFERSON ST
BLACKFOOT, ID 83221-1818
Phone number: 208-785-5152
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