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1336127190
STEPHANIE TERRELL
MERIDIAN, ID
NPI
1336127190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP681A)
Enumeration Date
2006-01-03
Last Update Date
2013-08-20
Business Address
-- STEPHANIE TERRELL NP
2273 E GALA ST STE. 110
MERIDIAN, ID 83642-7289
Phone number: 208-995-4449
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Mailing Address
-- STEPHANIE TERRELL NP
2273 E GALA ST STE 110
MERIDIAN, ID 83642-7289
Phone number: 208-994-5700
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