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1720341456
SONYA L CRUM
EAGLE, ID
NPI
1720341456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1181A)
Enumeration Date
2012-06-18
Last Update Date
2012-06-21
Business Address
-- SONYA L CRUM FNP
435 S EAGLE RD SUITE 100
EAGLE, ID 83616-6067
Phone number: 208-939-8200
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Mailing Address
-- SONYA L CRUM FNP
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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