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1538883764
GINA MARIE KOVAC
BOISE, ID
NPI
1538883764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 49304)
Enumeration Date
2022-09-30
Last Update Date
2022-10-04
Business Address
GINA MARIE KOVAC RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1092
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Mailing Address
GINA MARIE KOVAC RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1092
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