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1558564138
KIMBERLY SPEARS
BOISE, ID
NPI
1558564138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 17148A)
Enumeration Date
2007-06-08
Last Update Date
2010-01-28
Business Address
-- KIMBERLY SPEARS NP
1902 JUDITH LN SUITE 110
BOISE, ID 83705-5235
Phone number: 208-658-0800
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Mailing Address
-- KIMBERLY SPEARS NP
PO BOX 190601
BOISE, ID 83719-0601
Phone number: 208-371-2703
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