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1275175614
MYKEL MARIE JESS
CALDWELL, ID
NPI
1275175614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CT 9236)
Enumeration Date
2019-10-16
Last Update Date
2022-11-17
Business Address
MYKEL MARIE JESS
1825 S KIMBALL AVE
CALDWELL, ID 83605-4828
Phone number: 208-455-3535
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Mailing Address
MYKEL MARIE JESS
633 N 4TH ST
BOISE, ID 83702-4510
Phone number: 208-342-9800
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