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1588385181
HEATHER J FIVECOAT
TWIN FALLS, ID
NPI
1588385181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID 49042)
Enumeration Date
2022-09-12
Last Update Date
2022-09-12
Business Address
HEATHER J FIVECOAT LPN
260 2ND AVE E
TWIN FALLS, ID 83301-6242
Phone number: 208-732-0959
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Mailing Address
HEATHER J FIVECOAT LPN
260 2ND AVE E
TWIN FALLS, ID 83301-6242
Phone number:
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