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1588408702
JAKE KOTR MONAGHAN
BOISE, ID
NPI
1588408702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 73209)
Enumeration Date
2024-06-21
Last Update Date
2024-06-21
Business Address
Mr. JAKE KOTR MONAGHAN FNP-C
1475 N COLE RD
BOISE, ID 83704-8537
Phone number: 208-809-2880
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Mailing Address
Mr. JAKE KOTR MONAGHAN FNP-C
10482 W CARLTON BAY DR
GARDEN CITY, ID 83714-5143
Phone number:
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