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1356195200
LAUREL KATE DEFOGGI
EAGLE, ID
NPI
1356195200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 79174)
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
MS. LAUREL KATE DEFOGGI FNP-BC
951 E PLAZA DR STE 110
EAGLE, ID 83616-6567
Phone number: 208-274-9580
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Mailing Address
MS. LAUREL KATE DEFOGGI FNP-BC
951 E PLAZA DR STE 110
EAGLE, ID 83616-6567
Phone number: 208-274-9580
Copy
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