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1912311929
STEPHANIE DIANNE FOLLETT
POCATELLO, ID
NPI
1912311929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 27185)
Enumeration Date
2014-06-17
Last Update Date
2014-06-23
Business Address
-- STEPHANIE DIANNE FOLLETT FNP-C
777 HOSPITAL WAY
POCATELLO, ID 83201-5175
Phone number: 208-239-1250
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Mailing Address
-- STEPHANIE DIANNE FOLLETT FNP-C
777 HOSPITAL WAY PRE-SURGERY CLINIC
POCATELLO, ID 83201-5175
Phone number:
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