CARLY LANGE

BOISE, ID
NPI1568153096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: ID  57823)
Enumeration Date2023-05-16
Last Update Date2023-05-16
Business Address
CARLY LANGE
417 S 6TH ST
BOISE, ID 83702-7632
Phone number: 208-577-4460
Mailing Address
CARLY LANGE
417 S 6TH ST
BOISE, ID 83702-7632
Phone number:
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