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1093950420
DEBORAH LEE SULLIVAN
CALDWELL, ID
NPI
1093950420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: ID NP891)
Enumeration Date
2008-12-15
Last Update Date
2019-03-26
Business Address
Mrs. DEBORAH LEE SULLIVAN ARNP
211 E LOGAN ST SUITE 105
CALDWELL, ID 83605-4882
Phone number: 208-454-0567
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Mailing Address
Mrs. DEBORAH LEE SULLIVAN ARNP
3706 N STONE CREEK WAY
BOISE, ID 83703-4745
Phone number: 208-514-3217
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