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GEM FAMILY PRACTICE

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Company Details

Name: GEM FAMILY PRACTICE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 28 Sep 1998 (27 years ago)
Entity Number: 69515
Place of Formation: IDAHO
File Number: 0000069515
ZIP code: 83617
County: Gem County
Mailing Address: PO BOX 95 EMMETT, ID 83617

National Provider Identifier

NPI Number:
1407919749

Authorized Person:

Name:
MS. DEBORAH A CASDORPH
Role:
FNP
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2083653422

Filing

Filing Name Filing Number Filing date
Initial Filing 0000069515 1998-09-28

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State