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1205506995
LEEANN BOLGEN
AMERICAN FALLS, ID
NPI
1205506995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 69594)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
Mrs. LEEANN BOLGEN FNP-C
502 TYHEE AVE
AMERICAN FALLS, ID 83211-1224
Phone number: 208-221-7777
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Mailing Address
Mrs. LEEANN BOLGEN FNP-C
510 ROOSEVELT ST
AMERICAN FALLS, ID 83211-1362
Phone number: 208-221-7777
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