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1215972831
JENNIFER M VINCENT
BOISE, ID
NPI
1215972831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID o189)
Enumeration Date
2006-06-18
Last Update Date
2012-01-18
Business Address
Mrs. JENNIFER M VINCENT DO
11197 W FAIRVIEW AVE
BOISE, ID 83713-7935
Phone number: 208-378-8011
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Mailing Address
Mrs. JENNIFER M VINCENT DO
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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