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1194128025
STEPHANIE LEONARDSON
IDAHO FALLS, ID
NPI
1194128025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP1498A)
Enumeration Date
2014-10-07
Last Update Date
2014-10-07
Business Address
-- STEPHANIE LEONARDSON NP-C
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
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Mailing Address
-- STEPHANIE LEONARDSON NP-C
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
Copy
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