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1720744063
MATTHEW DAVID PALMER
COEUR D ALENE, ID
NPI
1720744063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 70476)
Enumeration Date
2021-11-11
Last Update Date
2021-11-11
Business Address
MATTHEW DAVID PALMER NP
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814-6051
Phone number: 208-625-4000
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Mailing Address
MATTHEW DAVID PALMER NP
PO BOX 13
COCOLALLA, ID 83813-0013
Phone number: 208-597-1139
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