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Organization
JAN SUND FNP,PC
Active
Organization
JAN SUND FNP,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN A SUND FNP.PC (PRESIDENT)
(208) 733-6677
Entity
Organization
Contact information
Practice address
496 SHOUP AVE W STE C, TWIN FALLS, ID 83301-5043
(208) 733-6677
(208) 733-6674
Mailing address
496 SHOUP AVE W STE C, TWIN FALLS, ID 83301-5043
(208) 733-6677
(208) 733-6674
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NP282-A
ID
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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