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1396352142
KARISSA THUESON
REXBURG, ID
NPI
1396352142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: ID 65959)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
KARISSA THUESON NNP
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6900
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Mailing Address
KARISSA THUESON NNP
301 N 3811 E
RIGBY, ID 83442-5186
Phone number: 208-497-8114
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