JUSTIN WILLIS DEVINASPRE

BOISE, ID
NPI1144738717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  57409)
Enumeration Date2018-01-17
Last Update Date2022-05-26
Business Address
JUSTIN WILLIS DEVINASPRE NP
701 E PARKCENTER BLVD
BOISE, ID 83706-6528
Phone number: 208-381-6500
Mailing Address
JUSTIN WILLIS DEVINASPRE NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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