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1508530676
JULIE RAYE MOODY
REXBURG, ID
NPI
1508530676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 69140)
Enumeration Date
2021-08-03
Last Update Date
2024-05-20
Business Address
Mrs. JULIE RAYE MOODY PMHNP
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-4840
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Mailing Address
Mrs. JULIE RAYE MOODY PMHNP
393 E 2ND N
REXBURG, ID 83440-1605
Phone number: 208-359-4840
Copy
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