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1073731196
JAYNE NELSON
BOISE, ID
NPI
1073731196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-122)
Enumeration Date
2007-04-23
Last Update Date
2007-07-09
Business Address
-- JAYNE NELSON PA-C
1910 UNIVERSITY DR MS-1351
BOISE, ID 83725-0002
Phone number: 208-426-1459
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Mailing Address
-- JAYNE NELSON PA-C
1910 UNIVERSITY DR MS-1351
BOISE, ID 83725-0002
Phone number: 208-426-1459
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