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1063147023
LAURA YOUNG
BOISE, ID
NPI
1063147023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QV0200X Clinic/Center, VA
(Licence: ID 73612)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
LAURA YOUNG
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
LAURA YOUNG
800 E STATE ST
BOISE, ID 83712-7307
Phone number:
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