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1871992776
CRISSIE LYNNE BACON
NAMPA, ID
NPI
1871992776
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Other Name
CHRISTINA LYNNE BACON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1474A)
Enumeration Date
2014-08-15
Last Update Date
2014-08-15
Business Address
Ms. CRISSIE LYNNE BACON FNP
312 3RD ST S
NAMPA, ID 83651-3717
Phone number: 208-465-7121
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Mailing Address
Ms. CRISSIE LYNNE BACON FNP
312 3RD ST S
NAMPA, ID 83651-3717
Phone number: 208-465-7121
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