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1386263796
NICHOLE BLAIR SHUMWAY
TWIN FALLS, ID
NPI
1386263796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID O-1848)
Enumeration Date
2020-04-15
Last Update Date
2023-10-20
Business Address
NICHOLE BLAIR SHUMWAY DO
801 POLE LINE RD W
TWIN FALLS, ID 83301-5810
Phone number: 208-814-4100
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Mailing Address
NICHOLE BLAIR SHUMWAY DO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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