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1659068351
MALISA BRYAN
IDAHO FALLS, ID
NPI
1659068351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-21
Last Update Date
2024-03-18
Business Address
MALISA BRYAN
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-227-2850
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Mailing Address
MALISA BRYAN
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-227-2850
Copy
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