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1720687106
SUNNY RAICHART
IDAHO FALLS, ID
NPI
1720687106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 66088)
Enumeration Date
2020-10-18
Last Update Date
2020-10-18
Business Address
MS. SUNNY RAICHART FNP
2001 S WOODRUFF AVE STE 15B
IDAHO FALLS, ID 83404-6372
Phone number: 208-357-4633
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Mailing Address
MS. SUNNY RAICHART FNP
4224 E 410 N
RIGBY, ID 83442-5518
Phone number: 208-589-4609
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