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1649753740
JARED WILLIAM RICKABAUGH
IDAHO FALLS, ID
NPI
1649753740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 59690)
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
JARED WILLIAM RICKABAUGH APRN, FNP-C
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404-8281
Phone number: 208-542-7060
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Mailing Address
JARED WILLIAM RICKABAUGH APRN, FNP-C
1551 N 700 E
SHELLEY, ID 83274-5006
Phone number: 208-541-3140
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