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1871914168
MARIA R SMITH
TWIN FALLS, ID
NPI
1871914168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP-1391A)
Enumeration Date
2014-01-03
Last Update Date
2014-04-14
Business Address
Mrs. MARIA R SMITH FNP-C
801 POLE LINE RD W SUITE 3880
TWIN FALLS, ID 83301-5810
Phone number: 208-814-8500
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Mailing Address
Mrs. MARIA R SMITH FNP-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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