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1588943435
SHAUNA L ELLEFSON
MERIDIAN, ID
NPI
1588943435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID NP-1089A)
Enumeration Date
2011-08-10
Last Update Date
2012-12-29
Business Address
-- SHAUNA L ELLEFSON NP
1620 S CELEBRATION AVE STE 400
MERIDIAN, ID 83642-2779
Phone number: 208-884-1030
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Mailing Address
-- SHAUNA L ELLEFSON NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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