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1851839542
JORDAN ROSE STEVENS
POCATELLO, ID
NPI
1851839542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 55160)
Enumeration Date
2017-02-02
Last Update Date
2024-08-08
Business Address
JORDAN ROSE STEVENS NP
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
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Mailing Address
JORDAN ROSE STEVENS NP
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number:
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