WESLEY WARD

CHUBBUCK, ID
NPI1881170611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  58903)
Enumeration Date2018-07-15
Last Update Date2018-07-15
Business Address
WESLEY WARD
134 W CHUBBUCK RD
CHUBBUCK, ID 83202-2338
Phone number: 208-237-7911
Mailing Address
WESLEY WARD
4823 NAVAJO ST
POCATELLO, ID 83204-3719
Phone number: 208-221-4931
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