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1164441143
KATHLEEN A. MARTIN
MERIDIAN, ID
NPI
1164441143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: ID NP88A)
Enumeration Date
2006-07-19
Last Update Date
2012-11-10
Business Address
Ms. KATHLEEN A. MARTIN NP
520 S EAGLE RD SUITE 3209
MERIDIAN, ID 83642-6351
Phone number: 208-884-3980
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Mailing Address
Ms. KATHLEEN A. MARTIN NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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