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1477042802
MARY TERESA WALTERS
BOISE, ID
NPI
1477042802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 57929)
Enumeration Date
2018-05-01
Last Update Date
2024-11-05
Business Address
Mrs. MARY TERESA WALTERS CPNP
100 E IDAHO ST
BOISE, ID 83712
Phone number: 208-381-5111
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Mailing Address
Mrs. MARY TERESA WALTERS CPNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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