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1316242100
GENEVIEVE MARIE BROSS
LEWISTON, ID
NPI
1316242100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID NP-1003A)
Enumeration Date
2011-01-25
Last Update Date
2011-01-25
Business Address
MS. GENEVIEVE MARIE BROSS NP-C
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-799-5457
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Mailing Address
MS. GENEVIEVE MARIE BROSS NP-C
PO BOX 87
COTTONWOOD, ID 83522-0087
Phone number: 208-962-7023
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