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1417179110
SHERYL RAE GOMBERT
IDAHO FALLS, ID
NPI
1417179110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: ID CNM 22-C)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- SHERYL RAE GOMBERT CNM
1600 S 25TH E EASTERN IDAHO TECHNICAL COLLEGE
IDAHO FALLS, ID 83404-5788
Phone number: 208-524-3000
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Mailing Address
-- SHERYL RAE GOMBERT CNM
353 N RIDGE AVE
IDAHO FALLS, ID 83402-3722
Phone number: 208-529-4635
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