JOHN WAYNE SHAFFER

BOISE, ID
NPI1396358438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  54544)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
JOHN WAYNE SHAFFER LPN
500 W FRONT ST
BOISE, ID 83702-7231
Phone number: 208-422-1000
Mailing Address
JOHN WAYNE SHAFFER LPN
500 W FRONT ST
BOISE, ID 83702-7231
Phone number: 208-422-1000
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