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1083880181
JUDITH EILEEN SULLIVAN
BOISE, ID
NPI
1083880181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health
(Licence: ID CNS36A)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
JUDITH EILEEN SULLIVAN ANP
223 W STATE ST
BOISE, ID 83702-6013
Phone number: 208-343-0436
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Mailing Address
JUDITH EILEEN SULLIVAN ANP
43 GOLDEN EAGLE DR
BOISE, ID 83716-3217
Phone number: 208-343-0436
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