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1770924375
DAVID JIM MCGREGOR
CHUBBUCK, ID
NPI
1770924375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1286A)
Enumeration Date
2013-07-11
Last Update Date
2013-07-11
Business Address
-- DAVID JIM MCGREGOR NP
134 W CHUBBUCK RD
CHUBBUCK, ID 83202-2315
Phone number: 208-237-7911
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Mailing Address
-- DAVID JIM MCGREGOR NP
134 W CHUBBUCK RD
CHUBBUCK, ID 83202-2315
Phone number: 208-237-7911
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