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1114901006
JUDITH M PERRY
BOISE, ID
NPI
1114901006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 15535)
Enumeration Date
2005-12-03
Last Update Date
2011-03-21
Business Address
Ms. JUDITH M PERRY NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
Ms. JUDITH M PERRY NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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