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1659695047
GENI L EVANS
LEWISTON, ID
NPI
1659695047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 21422A)
Enumeration Date
2010-03-15
Last Update Date
2012-03-05
Business Address
GENI L EVANS NP
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
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Mailing Address
GENI L EVANS NP
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
Copy
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