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1649266529
THERESA MARIE KAUFMANN
POCATELLO, ID
NPI
1649266529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: ID NP160A)
Enumeration Date
2005-09-26
Last Update Date
2008-11-14
Business Address
THERESA MARIE KAUFMANN ANP
777 HOSPITAL WAY BLDG A STE. 101
POCATELLO, ID 83201-2753
Phone number: 208-234-2001
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Mailing Address
THERESA MARIE KAUFMANN ANP
PO BOX O
POCATELLO, ID 83205-0049
Phone number: 208-234-2001
Copy
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