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1194093344
ELLA MAE GORDON
BOISE, ID
NPI
1194093344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID IDAHONP-99)
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
Ms. ELLA MAE GORDON N.P.
450 WEST STATE STREET 4TH FLOOR
BOISE, ID 83720-0036
Phone number: 208-334-5616
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Mailing Address
Ms. ELLA MAE GORDON N.P.
450 WEST STATE STREET 4TH FLOOR
BOISE, ID 83720-0036
Phone number: 208-334-5616
Copy
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