Individual
MS. GAIL R. GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1451 FORE RD, POCATELLO, ID 83204-4300
(208) 236-6360
Mailing address
2956 TRAIL CANYON RD, SODA SPRINGS, ID 83276-5216
(208) 547-2369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
268A
ID
Other
Enumeration date
03/14/2007
Last updated
09/09/2009
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