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1306517271
CODY WILLIAM MATTHEWS
TWIN FALLS, ID
NPI
1306517271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 60234)
Enumeration Date
2021-09-21
Last Update Date
2021-09-21
Business Address
CODY WILLIAM MATTHEWS Nurse Practitioner
243 CHENEY DR W STE 200
TWIN FALLS, ID 83301-4278
Phone number: 208-736-7422
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Mailing Address
CODY WILLIAM MATTHEWS Nurse Practitioner
1915 PLEASANTVIEW LN
BURLEY, ID 83318-2744
Phone number: 208-312-0592
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