RANDY PAUL VAWDREY

POCATELLO, ID
NPI1376568493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: ID  NP-659)
Enumeration Date2006-07-12
Last Update Date2007-07-09
Business Address
MR. RANDY PAUL VAWDREY NP
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
Mailing Address
MR. RANDY PAUL VAWDREY NP
1743 DELMAR PLACE
POCATELLO, ID 83201
Phone number: 208-238-8145
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