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Individual

SHAYNA LARAE HARDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1133 CALL CREEK DR # A, POCATELLO, ID 83201-3000
(208) 232-1000
(208) 232-1006
Mailing address
652 W MAPLE ST, POCATELLO, ID 83201-5103
(208) 221-9992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55855
ID

Other

Enumeration date
06/27/2021
Last updated
04/06/2023
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