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1043258619
THERESA BALCERAK
BOISE, ID
NPI
1043258619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP297A)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
-- THERESA BALCERAK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
-- THERESA BALCERAK NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Copy
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