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1417498247
FRANCIS DETAR
COEUR D ALENE, ID
NPI
1417498247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 55258)
Enumeration Date
2017-03-13
Last Update Date
2017-03-13
Business Address
-- FRANCIS DETAR FNP
6795 N MINERAL DR
COEUR D ALENE, ID 83815-8700
Phone number: 208-620-5250
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Mailing Address
-- FRANCIS DETAR FNP
6795 N MINERAL DR
COEUR D ALENE, ID 83815-8700
Phone number: 208-620-5250
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