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1861120180
MARIANNE NELSON
IDAHO FALLS, ID
NPI
1861120180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 56225)
Enumeration Date
2022-08-14
Last Update Date
2022-08-14
Business Address
MARIANNE NELSON AG-ACNP
2381 E SUNNYSIDE RD
IDAHO FALLS, ID 83404-7521
Phone number: 208-904-4780
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Mailing Address
MARIANNE NELSON AG-ACNP
3040 TIPPERARY LN
IDAHO FALLS, ID 83404-7317
Phone number: 801-682-7947
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