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1205314622
PAIGE TARA RUSSELL
SANDPOINT, ID
NPI
1205314622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 59352)
Enumeration Date
2018-07-30
Last Update Date
2024-09-18
Business Address
PAIGE TARA RUSSELL DNP, NP-C
423 N 3RD AVE STE 210
SANDPOINT, ID 83864-1511
Phone number: 208-263-6876
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Mailing Address
PAIGE TARA RUSSELL DNP, NP-C
PO BOX 1343
SANDPOINT, ID 83864-0863
Phone number: 208-255-9005
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