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1043749195
KENNETH WESLEY COLPITTS
BOISE, ID
NPI
1043749195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 46583)
Enumeration Date
2017-06-11
Last Update Date
2017-06-11
Business Address
KENNETH WESLEY COLPITTS RN
5610 W GAGE ST
BOISE, ID 83706-1349
Phone number: 928-606-5179
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Mailing Address
KENNETH WESLEY COLPITTS RN
7805 W CANDLEWOOD DR
BOISE, ID 83709-1736
Phone number: 928-606-5179
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