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Individual

DARLENE M STEPHENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, RDCS

Contact information

Practice address
374 STUART DR, INKOM, ID 83245-0394
(208) 775-3783
(208) 417-0267
Mailing address
PO BOX 394, 374 STUART DR, INKOM, ID 83245-0394
(208) 775-3783
(208) 417-0267

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N14975
ID

Other

Enumeration date
03/28/2017
Last updated
03/28/2017
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