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1720513682
JENNIFER MARIE BENALLY
TWIN FALLS, ID
NPI
1720513682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 55167)
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
JENNIFER MARIE BENALLY NP-C
418 MADISON ST
TWIN FALLS, ID 83301-4721
Phone number: 208-358-6917
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Mailing Address
JENNIFER MARIE BENALLY NP-C
418 MADISON ST
TWIN FALLS, ID 83301-4721
Phone number: 208-358-6917
Copy
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