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1376188698
MASON CARTER
EAGLE, ID
NPI
1376188698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 53832)
Enumeration Date
2019-11-11
Last Update Date
2019-11-11
Business Address
MASON CARTER NP-C
21 N FISHER PARK WAY
EAGLE, ID 83616-4796
Phone number: 208-514-0670
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Mailing Address
MASON CARTER NP-C
1300 N PENN STATION LN APT 201
MERIDIAN, ID 83642-9428
Phone number:
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