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1376273110
SHANNON KAY YOUNG
BOISE, ID
NPI
1376273110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID N38122)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
SHANNON KAY YOUNG
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1344
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Mailing Address
SHANNON KAY YOUNG
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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