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1821693094
MERJURIE FAIR RICKLEFS
IDAHO FALLS, ID
NPI
1821693094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 66558)
Enumeration Date
2020-12-03
Last Update Date
2021-04-14
Business Address
MERJURIE FAIR RICKLEFS ARNP, PMHNP-BC
3670 S 25TH E STE 4
IDAHO FALLS, ID 83404-4956
Phone number: 208-821-0357
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Mailing Address
MERJURIE FAIR RICKLEFS ARNP, PMHNP-BC
3670 S 25TH E STE 4
IDAHO FALLS, ID 83404-4956
Phone number: 208-821-0357
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