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1326003377
MARY PAIGE JEFFRESS
BOISE, ID
NPI
1326003377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NV APN00541)
Enumeration Date
2006-04-20
Last Update Date
2010-09-15
Business Address
MARY PAIGE JEFFRESS FNP-C
4750 N FIVE MILE RD
BOISE, ID 83713-2715
Phone number: 208-375-0500
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Mailing Address
MARY PAIGE JEFFRESS FNP-C
2808 S DENALI PL
MERIDIAN, ID 83642-8103
Phone number: 208-288-1229
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