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1871197533
SHAWNA THOMAS
EAGLE, ID
NPI
1871197533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 66420)
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
SHAWNA THOMAS
1888 N EAGLE CREEK WAY
EAGLE, ID 83616-6604
Phone number: 208-863-9259
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Mailing Address
SHAWNA THOMAS
1888 N EAGLE CREEK WAY
EAGLE, ID 83616-6604
Phone number: 208-863-9259
Copy
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