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1023790854
BETHANY GRACE COLEMAN
BOISE, ID
NPI
1023790854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: ID 56564)
Enumeration Date
2023-08-02
Last Update Date
2023-08-15
Business Address
BETHANY GRACE COLEMAN WHNP
333 N 1ST ST STE 150
BOISE, ID 83702-6135
Phone number: 208-381-3088
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Mailing Address
BETHANY GRACE COLEMAN WHNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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