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Individual

MRS. SADIE N. EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S. ECSE

Contact information

Practice address
333 WALKER DR, REXBURG, ID 83440-1657
(208) 359-4783
(208) 359-4774
Mailing address
333 WALKER DR, REXBURG, ID 83440-1657
(208) 359-4783
(208) 359-4774

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
03/02/2016
Last updated
03/02/2016
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