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1093580581
EKATERINA ALEX TAYLOR
BOISE, ID
NPI
1093580581
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Former Name
EKATERINA ASHUROVA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 55046)
Enumeration Date
2023-11-15
Last Update Date
2023-11-30
Business Address
EKATERINA ALEX TAYLOR FNP-C
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2121
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Mailing Address
EKATERINA ALEX TAYLOR FNP-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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