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1467508697
BARBARA R DOHERTY
BOISE, ID
NPI
1467508697
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP575A)
Enumeration Date
2007-01-29
Last Update Date
2013-07-31
Business Address
Mrs. BARBARA R DOHERTY NP
100 E IDAHO ST SUITE 200
BOISE, ID 83712-6267
Phone number: 208-381-7310
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Mailing Address
Mrs. BARBARA R DOHERTY NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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