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1710395298
KELLY THOMAS
MERIDIAN, ID
NPI
1710395298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1461A)
Enumeration Date
2014-07-28
Last Update Date
2021-05-13
Business Address
KELLY THOMAS FNP-C
3520 E LOUISE DR
MERIDIAN, ID 83642-6304
Phone number: 208-888-0909
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Mailing Address
KELLY THOMAS FNP-C
3520 E LOUISE DR
MERIDIAN, ID 83642-6304
Phone number: 208-888-0909
Copy
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