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1548693682
TRACY LYNN JOHNSTON
BOISE, ID
NPI
1548693682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1311 A)
Enumeration Date
2013-08-13
Last Update Date
2013-08-13
Business Address
Ms. TRACY LYNN JOHNSTON NP- C
1910 UNIVERSITY DR
BOISE, ID 83725-1351
Phone number: 208-426-1459
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Mailing Address
Ms. TRACY LYNN JOHNSTON NP- C
1910 UNIVERSITY DR
BOISE, ID 83725-1351
Phone number: 208-426-1459
Copy
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