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1023322856
LAURA LELA HARTWIG
BOISE, ID
NPI
1023322856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-997A)
Enumeration Date
2010-08-04
Last Update Date
2013-10-30
Business Address
-- LAURA LELA HARTWIG FNP-C
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-1702
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Mailing Address
-- LAURA LELA HARTWIG FNP-C
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-1702
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