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1740331842
THERESA M SMITH
LEWISTON, ID
NPI
1740331842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP388A)
Enumeration Date
2007-01-15
Last Update Date
2021-08-18
Business Address
THERESA M SMITH FNP
1522 17TH ST
LEWISTON, ID 83501-3652
Phone number: 208-743-8416
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Mailing Address
THERESA M SMITH FNP
PO BOX 341
LEWISTON, ID 83501-0341
Phone number: 208-743-8416
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