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1902124142
ELIZABETH PUCKETT THURMOND
NAMPA, ID
NPI
1902124142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 56592)
Enumeration Date
2010-05-12
Last Update Date
2022-07-21
Business Address
MRS. ELIZABETH PUCKETT THURMOND RN MSN AGACNP-BC
9850 ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-505-2108
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Mailing Address
MRS. ELIZABETH PUCKETT THURMOND RN MSN AGACNP-BC
9850 ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-505-2108
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