LEATHIE BICKMORE

POCATELLO, ID
NPI1609640333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  61350)
Enumeration Date2023-11-13
Last Update Date2023-11-13
Business Address
LEATHIE BICKMORE APRN CNP
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-425-1620
Mailing Address
LEATHIE BICKMORE APRN CNP
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-425-1620
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