HAILEY M GORDON

MERIDIAN, ID
NPI1275175291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  53504)
Enumeration Date2019-10-10
Last Update Date2021-07-14
Business Address
HAILEY M GORDON PA-C
260 S TEN MILE RD
MERIDIAN, ID 83642-6100
Phone number: 208-809-2872
Mailing Address
HAILEY M GORDON PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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