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1144930801
BARRY JON SHINSEL
BOISE, ID
NPI
1144930801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 74512)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
BARRY JON SHINSEL
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-6458
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Mailing Address
BARRY JON SHINSEL
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-6458
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