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Individual

MRS. DEBRA LYNN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5162
(208) 239-1000
Mailing address
541 S 10TH AVE, POCATELLO, ID 83201-4856
(208) 251-1262

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
CNS 49A
ID

Other

Enumeration date
12/14/2010
Last updated
04/18/2011
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