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1114753985
LAUREN ELLIOTT
BOISE, ID
NPI
1114753985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID F09240292)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
LAUREN ELLIOTT
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 702-423-6869
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Mailing Address
LAUREN ELLIOTT
4468 S CRUZATTE LN
BOISE, ID 83716-5610
Phone number: 702-423-6869
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