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1255510442
DEBORAH WYNNE MEDEL
MOSCOW, ID
NPI
1255510442
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Former Name
DEBORAH WYNNE COPELAND
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP593A)
Enumeration Date
2007-10-24
Last Update Date
2007-10-24
Business Address
Mrs. DEBORAH WYNNE MEDEL N.P
213 N MAIN ST
MOSCOW, ID 83843-2700
Phone number: 208-882-7565
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Mailing Address
Mrs. DEBORAH WYNNE MEDEL N.P
213 N MAIN ST
MOSCOW, ID 83843-2700
Phone number: 208-882-7565
Copy
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