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Individual

MISS FAWN L. BELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
914 N PASTURE AVE, KUNA, ID 83634-3180
(208) 922-2109
Mailing address
914 N PASTURE AVE, KUNA, ID 83634-3180
(208) 922-2109

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
8619
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808373500
ID
Enumeration date
06/20/2009
Last updated
06/20/2009
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