SUSAN ELIANE AULT

BOISE, ID
NPI1528271103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: ID  NP-173A)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- SUSAN ELIANE AULT
707 N ARMSTRONG PL
BOISE, ID 83704-0825
Phone number: 208-327-8626
Mailing Address
-- SUSAN ELIANE AULT
1758 E BRAEMERE RD
BOISE, ID 83702-1862
Phone number: 208-345-5676
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