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1346687654
ANGELA MARIE LATTA
BOISE, ID
NPI
1346687654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 1277A)
Enumeration Date
2013-05-28
Last Update Date
2013-05-28
Business Address
Ms. ANGELA MARIE LATTA NP-C
333 N 1ST ST STE 260
BOISE, ID 83702-6132
Phone number: 208-345-3136
Copy
Mailing Address
Ms. ANGELA MARIE LATTA NP-C
333 N 1ST ST STE 260
BOISE, ID 83702-6132
Phone number: 208-345-3136
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