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1073205126
STAR FITZGERALD
BOISE, ID
NPI
1073205126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: ID 28002)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
STAR FITZGERALD RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
STAR FITZGERALD RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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