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1841020518
NICOLE LYBBERT
REXBURG, ID
NPI
1841020518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: ID 62400)
Enumeration Date
2024-08-06
Last Update Date
2024-08-06
Business Address
NICOLE LYBBERT
37 S 2ND E
REXBURG, ID 83440-1906
Phone number: 208-359-6900
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Mailing Address
NICOLE LYBBERT
1148 COYOTE WILLOW WAY
REXBURG, ID 83440-5271
Phone number:
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