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1205317856
SARA B PRESOL
MOSCOW, ID
NPI
1205317856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 59413)
Enumeration Date
2018-08-22
Last Update Date
2018-09-11
Business Address
SARA B PRESOL FNP-C
213 N MAIN ST
MOSCOW, ID 83843-2700
Phone number: 208-882-7565
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Mailing Address
SARA B PRESOL FNP-C
1044 SCHULTZ RD
MOSCOW, ID 83843-8120
Phone number: 541-285-6454
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