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1437765344
JENNIFER CHRISTINE MAIRE
IDAHO FALLS, ID
NPI
1437765344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ID 64122)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
JENNIFER CHRISTINE MAIRE PMHNP-BC
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404-6371
Phone number: 208-419-3002
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Mailing Address
JENNIFER CHRISTINE MAIRE PMHNP-BC
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404-6371
Phone number: 208-419-3002
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