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1720312523
HEATHER ANNE BAGLEY
IDAHO FALLS, ID
NPI
1720312523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID 20366A)
Enumeration Date
2009-09-25
Last Update Date
2017-03-28
Business Address
Mrs. HEATHER ANNE BAGLEY N.P.
3430 WASHINGTON PKWY THE PEDIATRIC CENTER
IDAHO FALLS, ID 83404-7579
Phone number: 208-523-3060
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Mailing Address
Mrs. HEATHER ANNE BAGLEY N.P.
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7579
Phone number: 208-523-3060
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