1285970079

Everything you always wanted to know about COLLAER JENNIFER 1 GOUGH JENNIFER but were afraid to ask.

COLLAER JENNIFER 1 GOUGH JENNIFER

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Provider Last Name Provider First Name Provider Other Name Type Code Provider Other Last Name Provider Other First Name
COLLAER JENNIFER 1 GOUGH JENNIFER
Gender:
Female
Enumeration date:
2012-12-24
Last update date:
2012-12-24
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
103TW0100X Women none none

Phone Numbers

Type Number
Mailing Address Telephone Number 2087164222
Practice Location Address Telephone Number 2087164222

Addresses

Type Address City State Postal Country
Mailing Address 1740 E 17TH ST IDAHO FALLS ID 83404 ID
Practice Location Address 1740 E 17TH ST IDAHO FALLS ID 83404 ID

Other NPI Records that share an address

NPI Name Address State City
1003106691 RUSSOM, LISA
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1043645740 VALENCIA, ITZEL
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1114266228 LEMEK, CHRISTINA
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1134471055 SMITH, GEORGIANN
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1134543796 DURAN, LINDA
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1154670420 BINGHAM, KARLY
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1740 E 17TH ST ID IDAHO FALLS
1164659975 GRAY, ALICE
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1164766812 HUNTSMAN, JENNIFER
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1740 E 17TH ST ID IDAHO FALLS
1194833111 LEE, MYRNA
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1740 E 17TH ST ID IDAHO FALLS
1205261492 IZATT, MEGAN
Individual
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1215398672 BMH, INC
Organization
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1235404765 MITCHELL, REBECCA
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1235499526 STEWART, JOSHUA
Individual
1740 E 17TH ST ID IDAHO FALLS
1235503061 KENT, RACHEL
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1255623781 BLACKBURN, JAMES
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1740 E 17TH ST ID IDAHO FALLS
1265667752 KUIPERS, RICHIE
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1275805954 VAN WAGENEN, SHARLI
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1740 E 17TH ST ID IDAHO FALLS
1275977241 ODETTE, KEVIN
Individual
1740 E 17TH ST ID IDAHO FALLS
1285671677 HUOT, EVELYN
Individual
1740 E 17TH ST ID IDAHO FALLS
1295015162 MCINELLY, BLAINE
Individual
1740 E 17TH ST ID IDAHO FALLS
1295059442 DENNIS, JENNIE
Individual
1740 E 17TH ST ID IDAHO FALLS
1316234313 CARRIER, REBECCA
Individual
1740 E 17TH ST ID IDAHO FALLS
1316312747 JOHNSON, MYRIA
Individual
1740 E 17TH ST ID IDAHO FALLS
1326371766 GIANCHETTA, NICOLE
Individual
1740 E 17TH ST ID IDAHO FALLS
1336421601 BECK, ARABY
Individual
1740 E 17TH ST ID IDAHO FALLS
1356773188 PARKER, ROBERT
Individual
1740 E 17TH ST ID IDAHO FALLS
1376790295 DOTSON, JARED
Individual
1740 E 17TH ST ID IDAHO FALLS
1376837591 GUERRERO, MAGALI
Individual
1740 E 17TH ST ID IDAHO FALLS
1376895177 GEORGE, JEREMY
Individual
1740 E 17TH ST ID IDAHO FALLS
1386917821 WILSON, DAVID
Individual
1740 E 17TH ST ID IDAHO FALLS
1386928729 GUZMAN, LOURDES
Individual
1740 E 17TH ST ID IDAHO FALLS
1396978698 MORAN, TERESA
Individual
1740 E 17TH ST ID IDAHO FALLS
1417294950 HEDLUND, REBECCA
Individual
1740 E 17TH ST ID IDAHO FALLS
1447351457 LANCASTER, LENDA
Individual
1740 E 17TH ST ID IDAHO FALLS
1447508916 ARIZOLA, MICHAEL
Individual
1740 E 17TH ST ID IDAHO FALLS
1467887992 ALLEN, BRIANA
Individual
1740 E 17TH ST ID IDAHO FALLS
1477974871 RODRIGUEZ, ORYAN
Individual
1740 E 17TH ST ID IDAHO FALLS
1477994093 ADAMS, JESSE
Individual
1740 E 17TH ST ID IDAHO FALLS
1538467345 GARDNER, PHILIP
Individual
1740 E 17TH ST ID IDAHO FALLS
1538478938 WARREN, SARAH
Individual
1740 E 17TH ST ID IDAHO FALLS
1548514722 LORA, MARIA
Individual
1740 E 17TH ST ID IDAHO FALLS
1558596023 EMFIELD, ADAM
Individual
1740 E 17TH ST ID IDAHO FALLS
1568760635 MANWARING, ALICE
Individual
1740 E 17TH ST ID IDAHO FALLS
1568833523 COOK, BRIANNE
Individual
1740 E 17TH ST ID IDAHO FALLS
1578954806 KARN, JAMES
Individual
1740 E 17TH ST ID IDAHO FALLS
1588848584 HAROLDSEN, CHERISH
Individual
1740 E 17TH ST ID IDAHO FALLS
1588903744 BURGESS, TERRELL
Individual
1740 E 17TH ST ID IDAHO FALLS
1588999528 WOODARD, JOSEPH
Individual
1740 E 17TH ST ID IDAHO FALLS
1609164615 DUPLESSIS, SHARALEE
Individual
1740 E 17TH ST ID IDAHO FALLS
1619272622 PATTON, TERRI
Individual
1740 E 17TH ST ID IDAHO FALLS
1619276722 BENTLEY, ELIZABETH
Individual
1740 E 17TH ST ID IDAHO FALLS
1629287354 YOUNGBERG, MATTHEW
Individual
1740 E 17TH ST ID IDAHO FALLS
1639416845 STOKES, MATTHEW
Individual
1740 E 17TH ST ID IDAHO FALLS
1669815403 GAUCHAY, TOM
Individual
1740 E 17TH ST ID IDAHO FALLS
1689979387 LAWRENCE, KELLY
Individual
1740 E 17TH ST ID IDAHO FALLS
1699099606 BISHOP, MATTHEW
Individual
1740 E 17TH ST ID IDAHO FALLS
1710291117 LUKE, LLOYD
Individual
1740 E 17TH ST ID IDAHO FALLS
1730437500 COLEMAN, JEREMY
Individual
1740 E 17TH ST ID IDAHO FALLS
1750687992 SCHOW, KRYSTAL
Individual
1740 E 17TH ST ID IDAHO FALLS
1760741508 SKIDMORE, ERINN
Individual
1740 E 17TH ST ID IDAHO FALLS
1760783153 PEARL GROUP HOMES
Organization
1740 E 17TH ST ID IDAHO FALLS
1770859894 BRADY, MATTHEW
Individual
1740 E 17TH ST ID IDAHO FALLS
1780029397 MORA-CARDONA, KARLA
Individual
1740 E 17TH ST ID IDAHO FALLS
1780941278 AVERY, BONITA
Individual
1740 E 17TH ST ID IDAHO FALLS
1790071330 WILLIAMS DUTTON, WHITNEY
Individual
1740 E 17TH ST ID IDAHO FALLS
1790121143 LESLIE, MERRILEE
Individual
1740 E 17TH ST ID IDAHO FALLS
1801021373 SHELTON, JOLYNNE
Individual
1740 E 17TH ST ID IDAHO FALLS
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Organization
1740 E 17TH ST ID IDAHO FALLS
1831167113 FANTELLI, FLOYD
Individual
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1831320274 SHAW, ALISON
Individual
1740 E 17TH ST ID IDAHO FALLS
1831473271 ELLIS, JOSIE
Individual
1740 E 17TH ST ID IDAHO FALLS
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1740 E 17TH ST ID IDAHO FALLS
1841623311 PERRY, REYNA
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1740 E 17TH ST ID IDAHO FALLS
1861467375 SIERRA, MANUEL
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1871845941 DURFEE, MARC
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1740 E 17TH ST ID IDAHO FALLS
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1740 E 17TH ST ID IDAHO FALLS
1922395169 ADAMS, MICHAEL
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1740 E 17TH ST ID IDAHO FALLS
1932471299 PACKER, DAVID
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1740 E 17TH ST ID IDAHO FALLS
1942635529 CHIDDIX, DAVID
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1740 E 17TH ST ID IDAHO FALLS
1962762815 ROGERS, RONALD
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1740 E 17TH ST ID IDAHO FALLS