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1639442973
TREVOR R BARTLETT
IDAHO FALLS, ID
NPI
1639442973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1146A)
Enumeration Date
2012-02-16
Last Update Date
2012-09-11
Business Address
-- TREVOR R BARTLETT NP
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
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Mailing Address
-- TREVOR R BARTLETT NP
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
Copy
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