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1194226837
CRYSTAL GAIL BELCOURT
CALDWELL, ID
NPI
1194226837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID 58461)
Enumeration Date
2018-02-27
Last Update Date
2018-05-08
Business Address
CRYSTAL GAIL BELCOURT CPNP-PC
1620 S KIMBALL AVE
CALDWELL, ID 83605-4547
Phone number: 208-505-2950
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Mailing Address
CRYSTAL GAIL BELCOURT CPNP-PC
684 FRANKLIN AVE
KUNA, ID 83634-2025
Phone number: 208-871-9579
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