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1518551001
ANSLEY PUGH
MERIDIAN, ID
NPI
1518551001
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 67375)
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
Miss ANSLEY PUGH NP
2939 W EXCURSION LN
MERIDIAN, ID 83642-5308
Phone number: 870-265-0298
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Mailing Address
Miss ANSLEY PUGH NP
1923 19TH AVE S
NASHVILLE, TN 37212-3805
Phone number: 870-265-0298
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