WILLIAM LINCOLN POULSON

KUNA, ID
NPI1538414354
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1187-A)
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
Mr. WILLIAM LINCOLN POULSON NP-C
13500 SOUTH PLEASANT VALLEY ROAD
KUNA, ID 83634
Phone number: 208-371-7468
Mailing Address
Mr. WILLIAM LINCOLN POULSON NP-C
PO BOX 14
BOISE, ID 83707-0014
Phone number: 208-371-7468
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