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1366982621
STACIE MCCOMAS
TWIN FALLS, ID
NPI
1366982621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 55317)
Enumeration Date
2017-03-06
Last Update Date
2017-03-06
Business Address
-- STACIE MCCOMAS NP-C
476 CHENEY DR W SUITE 160
TWIN FALLS, ID 83301-3741
Phone number: 208-944-0497
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Mailing Address
-- STACIE MCCOMAS NP-C
652 WOODLAND DR
TWIN FALLS, ID 83301-2406
Phone number: 208-420-2555
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