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1275192205
LUNA HODGES
BOISE, ID
NPI
1275192205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID 36752)
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
LUNA HODGES DNP, CPNP
125 E IDAHO ST STE 200
BOISE, ID 83712-6225
Phone number: 208-381-7340
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Mailing Address
LUNA HODGES DNP, CPNP
1306 E STATE ST APT 1
BOISE, ID 83712-8008
Phone number: 208-721-3643
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