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1548931215
NICHOLE MARIE ROACH
BOISE, ID
NPI
1548931215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 68445)
Enumeration Date
2021-09-22
Last Update Date
2022-01-14
Business Address
NICHOLE MARIE ROACH FNP-C
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-2790
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Mailing Address
NICHOLE MARIE ROACH FNP-C
190 E BANNOCK ST FL 10
BOISE, ID 83712-6241
Phone number:
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