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1013949155
LARESA M JANOUSEK
BOISE, ID
NPI
1013949155
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Other Name
LARESA DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: ID NP749A)
Enumeration Date
2006-07-07
Last Update Date
2011-04-08
Business Address
-- LARESA M JANOUSEK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
-- LARESA M JANOUSEK NP
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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