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1265155204
KIMBERLY JEAN THOMAS
POCATELLO, ID
NPI
1265155204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 74181)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
KIMBERLY JEAN THOMAS FNP-c
2010 DIANE LN
POCATELLO, ID 83201-1908
Phone number: 208-241-8630
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Mailing Address
KIMBERLY JEAN THOMAS FNP-c
2010 DIANE LN
POCATELLO, ID 83201-1908
Phone number: 208-241-8630
Copy
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