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1023392636
NANCY LYNN TATE
BOISE, ID
NPI
1023392636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-933)
Enumeration Date
2011-09-30
Last Update Date
2017-03-30
Business Address
-- NANCY LYNN TATE PA-C
3668 NORTH LAKE HARBOR LN
BOISE, ID 83703
Phone number: 800-230-7526
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Mailing Address
-- NANCY LYNN TATE PA-C
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2121
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