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1518701671
AFTON CHAMBERLYN RAY
POCATELLO, ID
NPI
1518701671
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Former Name
AFTON CHAMBERLYN PARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 42088)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
AFTON CHAMBERLYN RAY
328 WILLARD AVE
POCATELLO, ID 83201-4539
Phone number: 801-707-6075
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Mailing Address
AFTON CHAMBERLYN RAY
328 WILLARD AVE
POCATELLO, ID 83201-4539
Phone number: 801-707-6075
Copy
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