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1174169254
SCOT KLEIN
EAGLE, ID
NPI
1174169254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 63149)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
SCOT KLEIN FNP
3188 W WIND CT
EAGLE, ID 83616-4692
Phone number: 208-794-6975
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Mailing Address
SCOT KLEIN FNP
3188 W WIND CT
EAGLE, ID 83616-4692
Phone number: 208-794-6975
Copy
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