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1316767205
COLTON JEFFERY PHELPS
AMMON, ID
NPI
1316767205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 58777)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
COLTON JEFFERY PHELPS MSN, PMHNP-BC
1675 CURLEW DR
AMMON, ID 83406-4718
Phone number: 208-523-5319
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Mailing Address
COLTON JEFFERY PHELPS MSN, PMHNP-BC
PO BOX 2106
IDAHO FALLS, ID 83403-2106
Phone number:
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