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1477994994
CASSI E SHELLY
BOISE, ID
NPI
1477994994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP123pend)
Enumeration Date
2013-07-12
Last Update Date
2022-07-18
Business Address
CASSI E SHELLY NP
2594 S SWALLOWTAIL LN
BOISE, ID 83706-6131
Phone number: 208-720-9670
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Mailing Address
CASSI E SHELLY NP
2594 S SWALLOWTAIL LN
BOISE, ID 83706-6131
Phone number: 208-720-9670
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