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1215670013
COLTER JOHNSON
NAMPA, ID
NPI
1215670013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 60327)
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
COLTER JOHNSON FNP-C
215 E HAWAII AVE
NAMPA, ID 83686-6011
Phone number: 208-463-3000
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Mailing Address
COLTER JOHNSON FNP-C
780 S TENNYSON WAY
BOISE, ID 83709-7738
Phone number: 208-251-9519
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