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1609640333
LEATHIE BICKMORE
POCATELLO, ID
NPI
1609640333
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 61350)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
LEATHIE BICKMORE APRN CNP
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-425-1620
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Mailing Address
LEATHIE BICKMORE APRN CNP
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-425-1620
Copy
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