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1184494460
CELESTE JOLY
BOISE, ID
NPI
1184494460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID 2461474)
Enumeration Date
2024-01-08
Last Update Date
2024-10-18
Business Address
CELESTE JOLY
305 E JEFFERSON ST
BOISE, ID 83712-6231
Phone number: 208-381-7370
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Mailing Address
CELESTE JOLY
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-5437
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