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1801526199
HEATHER LIN HALVERSEN
POCATELLO, ID
NPI
1801526199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-10
Last Update Date
2022-09-25
Business Address
Miss HEATHER LIN HALVERSEN
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
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Mailing Address
Miss HEATHER LIN HALVERSEN
3782 E 115 N
RIGBY, ID 83442-5613
Phone number:
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