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1770262016
ALICIA JORGENSEN
AMMON, ID
NPI
1770262016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 57312)
Enumeration Date
2023-07-13
Last Update Date
2023-07-19
Business Address
ALICIA JORGENSEN FNP-C
3088 E CHASEWOOD DR
AMMON, ID 83406-4852
Phone number: 208-240-1318
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Mailing Address
ALICIA JORGENSEN FNP-C
3088 E CHASEWOOD DR
AMMON, ID 83406-4852
Phone number: 208-240-1318
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