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1518515949
CARISA DAWN ELLIOTT
TWIN FALLS, ID
NPI
1518515949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID F12180577)
Enumeration Date
2019-08-28
Last Update Date
2020-03-05
Business Address
CARISA DAWN ELLIOTT FNP-C
370 NORTH HAVEN DRIVE
TWIN FALLS, ID 83301-6178
Phone number: 208-733-1112
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Mailing Address
CARISA DAWN ELLIOTT FNP-C
107 RAINBOW CIR
BUHL, ID 83316-1241
Phone number: 208-316-1219
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