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1003414228
CHELSEA ROSE WALLACE
BOISE, ID
NPI
1003414228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 57758)
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
Mrs. CHELSEA ROSE WALLACE RN, FNP-C
9976 W EMERALD ST
BOISE, ID 83704-9769
Phone number: 208-229-3742
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Mailing Address
Mrs. CHELSEA ROSE WALLACE RN, FNP-C
9976 W EMERALD ST
BOISE, ID 83704-9769
Phone number: 208-229-3742
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