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1467893289
KATHRYN JILL ROTH
POCATELLO, ID
NPI
1467893289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1287A)
Enumeration Date
2013-07-09
Last Update Date
2018-08-08
Business Address
-- KATHRYN JILL ROTH FNP-C
1800 FLANDRO DR STE 110
POCATELLO, ID 83202-4936
Phone number: 208-904-1544
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Mailing Address
-- KATHRYN JILL ROTH FNP-C
1800 FLANDRO DR STE 110
POCATELLO, ID 83202-4936
Phone number: 208-242-3723
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