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1356846398
PAUL HAISLIP
POCATELLO, ID
NPI
1356846398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 58106)
Enumeration Date
2018-03-29
Last Update Date
2018-03-29
Business Address
PAUL HAISLIP FNP
340 N 14TH AVE
POCATELLO, ID 83201-4118
Phone number: 208-241-5749
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Mailing Address
PAUL HAISLIP FNP
340 N 14TH AVE
POCATELLO, ID 83201-4118
Phone number:
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