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1073675617
LEONA JO"ANNE" CHURCH
BOISE, ID
NPI
1073675617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID NP-157A)
Enumeration Date
2006-12-13
Last Update Date
2009-04-23
Business Address
Dr. LEONA JO"ANNE" CHURCH CPNP
1655 W FAIRVIEW AVE STE 206
BOISE, ID 83702-5190
Phone number: 208-395-0000
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Mailing Address
Dr. LEONA JO"ANNE" CHURCH CPNP
1655 W FAIRVIEW AVE STE 206
BOISE, ID 83702-5190
Phone number: 208-395-0000
Copy
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