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1336772029
KAYLYNN MARIE-WINWOOD LOPEZ
BOISE, ID
NPI
1336772029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 63946)
Enumeration Date
2020-02-20
Last Update Date
2022-05-16
Business Address
KAYLYNN MARIE-WINWOOD LOPEZ
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-385-3230
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Mailing Address
KAYLYNN MARIE-WINWOOD LOPEZ
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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