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1346997582
SARA WILLIS
POCATELLO, ID
NPI
1346997582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: ID 55396)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
SARA WILLIS
1350 CEDAR LAKE RD
POCATELLO, ID 83204-4946
Phone number: 208-201-2784
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Mailing Address
SARA WILLIS
1350 CEDAR LAKE RD
POCATELLO, ID 83204-4946
Phone number:
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