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1598337933
KABRINA KAY LEAVITT
BLACKFOOT, ID
NPI
1598337933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 68989)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
KABRINA KAY LEAVITT FNP-BC
1028 N SHILLING AVE
BLACKFOOT, ID 83221-1845
Phone number: 208-604-0208
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Mailing Address
KABRINA KAY LEAVITT FNP-BC
1028 N SHILLING AVE
BLACKFOOT, ID 83221-1845
Phone number: 208-604-0208
Copy
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