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1255957403
ALYSSE MICHELE WEBER
BOISE, ID
NPI
1255957403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 58428)
Enumeration Date
2020-06-23
Last Update Date
2020-09-18
Business Address
ALYSSE MICHELE WEBER NP-C
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
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Mailing Address
ALYSSE MICHELE WEBER NP-C
3340 E GOLDSTONE DR
MERIDIAN, ID 83642
Phone number: 208-302-5950
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