MARY S RANDALL

BOISE, ID
NPI1174871420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP-1157A)
Enumeration Date2012-08-16
Last Update Date2016-11-30
Business Address
-- MARY S RANDALL NP
6140 W CURTISIAN AVE STE 200
BOISE, ID 83704-8880
Phone number: 208-302-0000
Mailing Address
-- MARY S RANDALL NP
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-0000
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