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1659149086
KENNETH JAMES GUNDERSON
IDAHO FALLS, ID
NPI
1659149086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID F12230320)
Enumeration Date
2023-12-14
Last Update Date
2024-02-21
Business Address
KENNETH JAMES GUNDERSON FNP-C
1950 SAINT CLAIR RD
IDAHO FALLS, ID 83404-6306
Phone number: 208-569-8249
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Mailing Address
KENNETH JAMES GUNDERSON FNP-C
1950 SAINT CLAIR RD
IDAHO FALLS, ID 83404-6306
Phone number: 208-569-8249
Copy
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