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1013048289
EMILY THERESA MOORE
BOISE, ID
NPI
1013048289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP112A)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
MRS. EMILY THERESA MOORE NURSE PRACTITIONER
707 N ARMSTRONG PL
BOISE, ID 83704-0825
Phone number: 208-327-7400
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Mailing Address
MRS. EMILY THERESA MOORE NURSE PRACTITIONER
7096 BIG FOOT RD
MELBA, ID 83641-5074
Phone number: 208-495-1500
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