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1316346059
MICHELLE P DORAN
BOISE, ID
NPI
1316346059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP1351A)
Enumeration Date
2014-08-19
Last Update Date
2014-11-25
Business Address
-- MICHELLE P DORAN NP
1520 W STATE ST STE 100
BOISE, ID 83702-4085
Phone number: 208-947-7700
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Mailing Address
-- MICHELLE P DORAN NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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