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1689163222
AMANDA PETERSEN
TWIN FALLS, ID
NPI
1689163222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 58323)
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
AMANDA PETERSEN FNP-BC, RN
775 POLE LINE RD W STE 113
TWIN FALLS, ID 83301-5819
Phone number: 208-814-8292
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Mailing Address
AMANDA PETERSEN FNP-BC, RN
775 POLE LINE RD W STE 113
TWIN FALLS, ID 83301-5819
Phone number: 208-814-8292
Copy
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