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1417338104
SARA WILSON
MERIDIAN, ID
NPI
1417338104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP-1568A)
Enumeration Date
2015-06-18
Last Update Date
2024-05-22
Business Address
SARA WILSON
2960 E. ST. LUKES ST. STE. 200
MERIDIAN, ID 83642-6011
Phone number: 208-992-5212
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Mailing Address
SARA WILSON
2960 E. ST. LUKES ST. STE. 200
MERIDIAN, ID 83642-6011
Phone number: 208-992-5212
Copy
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