NANETTE CORNISH FORD

KETCHUM, ID
NPI1306055850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA126)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Ms. NANETTE CORNISH FORD PA C
180 EAST AVENUE
KETCHUM, ID 83340
Phone number: 208-725-0900
Mailing Address
Ms. NANETTE CORNISH FORD PA C
PO BOX 1575
KETCHUM, ID 83340
Phone number: 208-725-0900
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