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1386010833
MICHELLE NORMAN
AMMON, ID
NPI
1386010833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID NP-1617A)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
-- MICHELLE NORMAN NP
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7501
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Mailing Address
-- MICHELLE NORMAN NP
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7501
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