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1023722337
KELISHA MISTRY
BOISE, ID
NPI
1023722337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 61908)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
KELISHA MISTRY RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 509-422-1000
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Mailing Address
KELISHA MISTRY RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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