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1831350172
LEANNE M MALOOLY
POCATELLO, ID
NPI
1831350172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP18981-a)
Enumeration Date
2008-06-19
Last Update Date
2008-06-19
Business Address
-- LEANNE M MALOOLY NP
4800 CLEARVIEW AVE
POCATELLO, ID 83204-5026
Phone number: 208-233-9340
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Mailing Address
-- LEANNE M MALOOLY NP
4800 CLEARVIEW AVE
POCATELLO, ID 83204-5026
Phone number: 208-233-9340
Copy
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