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1285295634
REBEKAH LUCERO
POCATELLO, ID
NPI
1285295634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID CNP61856)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
REBEKAH LUCERO
2185 STEVEN ST
POCATELLO, ID 83201-1928
Phone number: 208-241-9522
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Mailing Address
REBEKAH LUCERO
2185 STEVEN ST
POCATELLO, ID 83201-1928
Phone number: 208-241-9522
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