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1891314522
HYRUM BERT PRESTWICH
IDAHO FALLS, ID
NPI
1891314522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 8061678)
Enumeration Date
2020-04-13
Last Update Date
2024-07-31
Business Address
HYRUM BERT PRESTWICH FNP-C
3245 CHANNING WAY
IDAHO FALLS, ID 83404-7536
Phone number: 208-227-2790
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Mailing Address
HYRUM BERT PRESTWICH FNP-C
3245 CHANNING WAY
IDAHO FALLS, ID 83404-7536
Phone number: 208-227-2700
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