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1902456262
RONDA EDGLEY
POCATELLO, ID
NPI
1902456262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID CNP62704)
Enumeration Date
2019-09-18
Last Update Date
2023-04-17
Business Address
RONDA EDGLEY NP
415 N 3RD AVE STE B
POCATELLO, ID 83201-6306
Phone number: 208-646-4165
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Mailing Address
RONDA EDGLEY NP
415 N 3RD AVE STE B
POCATELLO, ID 83201-6306
Phone number: 208-646-4165
Copy
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