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Individual

JAMI TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DR.

Contact information

Practice address
300 HOSPITAL DR, OROFINO, ID 83544-9034
(208) 476-4511
(208) 476-7898
Mailing address
62 HARDY LN, OROFINO, ID 83544-5131
(208) 827-0864

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
37458
ID
363LF0000X
Family Nurse Practitioner
Primary
56713
ID

Other

Enumeration date
05/11/2017
Last updated
03/17/2018
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