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1467072660
TONYA JEAN JENOTT
BOISE, ID
NPI
1467072660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 64546)
Enumeration Date
2020-04-17
Last Update Date
2020-04-17
Business Address
TONYA JEAN JENOTT NP
420 W MAIN ST STE 206
BOISE, ID 83702-7363
Phone number: 208-426-9200
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Mailing Address
TONYA JEAN JENOTT NP
11434 W MONTANA ST
BOISE, ID 83713-1130
Phone number: 208-724-4006
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