LELAND CHARLES TEBOUT

BOISE, ID
NPI1356058259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP2201X Registered Nurse, Ambulatory Care
(Licence: GA  RN122374)
Enumeration Date2022-10-31
Last Update Date2022-10-31
Business Address
Mr. LELAND CHARLES TEBOUT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Mr. LELAND CHARLES TEBOUT
1622 PAUL MADDOX RD
JACKSON, GA 30233-4957
Phone number: 208-422-1000
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