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1164941803
RACHEL ELLEN PEAY-GOODMAN
POCATELLO, ID
NPI
1164941803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 56883)
Enumeration Date
2017-09-13
Last Update Date
2020-01-31
Business Address
RACHEL ELLEN PEAY-GOODMAN FNP-BC
396 YELLOWSTONE AVE
POCATELLO, ID 83201-4572
Phone number: 208-254-7733
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Mailing Address
RACHEL ELLEN PEAY-GOODMAN FNP-BC
357 LA MONTAGNA STRADA
POCATELLO, ID 83201-5800
Phone number:
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