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1548913064
WILLOW DETZER BRASHER
BOISE, ID
NPI
1548913064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 2021100497)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
WILLOW DETZER BRASHER NP
6140 W CURTISIAN AVE STE 200
BOISE, ID 83704-0107
Phone number: 208-302-0000
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Mailing Address
WILLOW DETZER BRASHER NP
5556 W SCHOOL RIDGE RD
BOISE, ID 83714-9463
Phone number: 208-866-6081
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