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1508483173
ANGELA KIRSTEN JOHNSTON
IDAHO FALLS, ID
NPI
1508483173
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Former Name
ANGELA KIRSTEN PEREZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 65180)
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
ANGELA KIRSTEN JOHNSTON NP-C
2243 E 17TH ST
IDAHO FALLS, ID 83404-6519
Phone number: 208-851-2381
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Mailing Address
ANGELA KIRSTEN JOHNSTON NP-C
422 CHESAPEAKE AVE
CHUBBUCK, ID 83202-1674
Phone number: 208-851-2381
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