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Individual

MRS. TRILBY M WEDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
134 W CHUBBUCK RD, CHUBBUCK, ID 83202-2315
(208) 237-7911
(208) 237-3450
Mailing address
134 W CHUBBUCK RD, CHUBBUCK, ID 83202-2315
(208) 237-7911
(208) 237-3450

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1207A
ID

Other

Enumeration date
07/17/2012
Last updated
07/17/2012
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