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1295372308
ELIZABETH BALLEWEG
BOISE, ID
NPI
1295372308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: ID 63144)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
ELIZABETH BALLEWEG
2306 N 31ST ST
BOISE, ID 83703-5628
Phone number: 406-546-7469
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Mailing Address
ELIZABETH BALLEWEG
2306 N 31ST ST
BOISE, ID 83703-5628
Phone number: 406-546-7469
Copy
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