LESLI BLANCHARD

IDAHO FALLS, ID
NPI1255776118
Former NameLESLI ANNE COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner Neonatal
(Licence: ID  NP-1353A)
Enumeration Date2013-05-06
Last Update Date2013-12-23
Business Address
LESLI BLANCHARD NNP
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-589-7673
Mailing Address
LESLI BLANCHARD NNP
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number:
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