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1437528007
JODI LEWIS
BOISE, ID
NPI
1437528007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: ID N35682)
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- JODI LEWIS RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1413
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Mailing Address
-- JODI LEWIS RN
15641 LONGHORN DR
CALDWELL, ID 83607-8259
Phone number: 208-422-1413
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