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1376260638
JAMIE LOU BAXTER
BOISE, ID
NPI
1376260638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: ID 54678)
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
JAMIE LOU BAXTER
5108 N MAIDSTONE WAY
BOISE, ID 83713-1367
Phone number: 208-577-8672
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Mailing Address
JAMIE LOU BAXTER
10503 W K BAR T DR
BOISE, ID 83709-2449
Phone number: 503-407-2693
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