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1770954398
JOHARY RODRIGUEZ
PAYETTE, ID
NPI
1770954398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9325608)
Enumeration Date
2015-10-08
Last Update Date
2020-06-09
Business Address
JOHARY RODRIGUEZ nurse practitioner
1441 NE 10TH AVE
PAYETTE, ID 83661-5420
Phone number: 208-642-3937
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Mailing Address
JOHARY RODRIGUEZ nurse practitioner
1441 NE 10TH AVE
PAYETTE, ID 83661-5420
Phone number: 208-642-3937
Copy
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