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1366911414
STACI MARSH
MERIDIAN, ID
NPI
1366911414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 60102)
Enumeration Date
2018-11-19
Last Update Date
2018-11-19
Business Address
STACI MARSH
1550 N CRESTMONT DR
MERIDIAN, ID 83642-2184
Phone number: 208-985-2260
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Mailing Address
STACI MARSH
702 S PEARL ST
BOISE, ID 83705-1764
Phone number:
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