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1245801141
MCKENZIE JO DECKER
POCATELLO, ID
NPI
1245801141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 58683)
Enumeration Date
2021-07-02
Last Update Date
2024-02-14
Business Address
MCKENZIE JO DECKER DNP
2850 OLYMPUS
POCATELLO, ID 83201
Phone number: 208-239-3815
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Mailing Address
MCKENZIE JO DECKER DNP
2850 OLYMPUS
POCATELLO, ID 83201
Phone number: 208-239-3815
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