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1629664388
LINDSEY RAE JOLLY
LEWISTON, ID
NPI
1629664388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 75980)
Enumeration Date
2020-12-17
Last Update Date
2024-04-04
Business Address
LINDSEY RAE JOLLY APN
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
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Mailing Address
LINDSEY RAE JOLLY APN
PO BOX 341
LEWISTON, ID 83501-0341
Phone number: 208-743-8416
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