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1013522275
BEAU LEE
BOISE, ID
NPI
1013522275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 63085)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
BEAU LEE FNP-C
2900 N BURTON ST
BOISE, ID 83704-5314
Phone number: 208-818-3459
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Mailing Address
BEAU LEE FNP-C
2900 N BURTON ST
BOISE, ID 83704-5314
Phone number: 208-818-3459
Copy
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