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1235434010
JENNIFER LEE CARLSEN
BOISE, ID
NPI
1235434010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA 887)
Enumeration Date
2011-01-25
Last Update Date
2024-11-13
Business Address
JENNIFER LEE CARLSEN PA-C
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
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Mailing Address
JENNIFER LEE CARLSEN PA-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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