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1235704537
SAMANTHA FRY
BOISE, ID
NPI
1235704537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 67450)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
SAMANTHA FRY FNP
1475 N COLE RD
BOISE, ID 83704-8537
Phone number: 208-809-2880
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Mailing Address
SAMANTHA FRY FNP
PO BOX 191050
BOISE, ID 83719-1050
Phone number:
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