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1184491755
LIVEWELL HEALTH AND WELLNESS LLC
BOISE, ID
NPI
1184491755
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Entity Type
Organization
Authorized Contact
VICKI MICHELLE GOSS
Nurse Practitioner
208-571-1060
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
LIVEWELL HEALTH AND WELLNESS LLC
11517 W SHARPTHORN ST
BOISE, ID 83709-6784
Phone number: 208-571-1060
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Mailing Address
LIVEWELL HEALTH AND WELLNESS LLC
11517 W SHARPTHORN ST
BOISE, ID 83709-6784
Phone number: 208-571-1060
Copy
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