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1285109942
MEGAN F CLARK
BOISE, ID
NPI
1285109942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 59471)
Enumeration Date
2018-10-09
Last Update Date
2019-06-17
Business Address
MEGAN F CLARK NP
1055 N CURTIS ROAD
BOISE, ID 83706
Phone number: 208-367-4096
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Mailing Address
MEGAN F CLARK NP
3340 E GOLDSTONE DR
MERIDIAN, ID 83642
Phone number: 208-367-4096
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