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1457897852
SCOTT DONALD WILLOUGHBY
MERIDIAN, ID
NPI
1457897852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 54825)
Enumeration Date
2017-01-10
Last Update Date
2020-01-20
Business Address
SCOTT DONALD WILLOUGHBY FNP-C
4740 N. PENNGROVE WAY STE. 100
MERIDIAN, ID 83646
Phone number: 208-938-3663
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Mailing Address
SCOTT DONALD WILLOUGHBY FNP-C
4740 N PENNGROVE WAY STE 100
MERIDIAN, ID 83646-7446
Phone number: 208-938-3663
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