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1538175757
TAMARA FAYE BETHEL
BOISE, ID
NPI
1538175757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP524A)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
-- TAMARA FAYE BETHEL FNP
2308 N COLE RD STE H
BOISE, ID 83704-7361
Phone number: 208-375-8806
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Mailing Address
-- TAMARA FAYE BETHEL FNP
2308 N COLE RD STE H
BOISE, ID 83704-7361
Phone number: 208-375-8806
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