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1669990685
STEPHANIE NIELSEN BAKER
ST MARIES, ID
NPI
1669990685
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Former Name
STEPHANIE LEE NIELSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 56789)
Enumeration Date
2017-08-30
Last Update Date
2017-08-30
Business Address
STEPHANIE NIELSEN BAKER FNP
229 S 7TH ST
ST MARIES, ID 83861-1803
Phone number: 208-245-2591
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Mailing Address
STEPHANIE NIELSEN BAKER FNP
229 S 7TH ST
ST MARIES, ID 83861-1803
Phone number:
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