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1316613458
ANDY CHRISTIAN VICTOR
TWIN FALLS, ID
NPI
1316613458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 69234)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
ANDY CHRISTIAN VICTOR DNP
2111 NORTH TEMPLE DRIVE
TWIN FALLS, ID 83301
Phone number: 208-432-2069
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Mailing Address
ANDY CHRISTIAN VICTOR DNP
2111 NORTH TEMPLE DRIVE
TWIN FALLS, ID 83301
Phone number: 208-432-2069
Copy
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