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1801266572
MARLA JEAN VAN TASSELL
TWIN FALLS, ID
NPI
1801266572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID NP-1662A)
Enumeration Date
2015-10-06
Last Update Date
2021-02-23
Business Address
MARLA JEAN VAN TASSELL Nurse Practitioner
414 SHOUP AVE W STE B
TWIN FALLS, ID 83301-5042
Phone number: 208-814-9100
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Mailing Address
MARLA JEAN VAN TASSELL Nurse Practitioner
414 SHOUP AVE W STE B
TWIN FALLS, ID 83301-5042
Phone number: 208-814-9100
Copy
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