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1538885041
ALAN KELLY WINWARD
BOISE, ID
NPI
1538885041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: ID 18335)
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
ALAN KELLY WINWARD RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-850-2110
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Mailing Address
ALAN KELLY WINWARD RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-850-2110
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