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1477198190
ASHLEY CORA ROSE
BOISE, ID
NPI
1477198190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: ID 62295)
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
ASHLEY CORA ROSE FNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-371-3155
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Mailing Address
ASHLEY CORA ROSE FNP
4999 E WOODCARVER DR
BOISE, ID 83716-7148
Phone number:
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