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1891165569
ANNE B FULLMER
JEROME, ID
NPI
1891165569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID N-38467)
Enumeration Date
2015-10-06
Last Update Date
2015-10-06
Business Address
-- ANNE B FULLMER FNP
709 N LINCOLN AVE
JEROME, ID 83338-1851
Phone number: 208-814-9772
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Mailing Address
-- ANNE B FULLMER FNP
709 N LINCOLN AVE
JEROME, ID 83338-1851
Phone number: 208-814-9772
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