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1609963081
KELLEY WOLFF
BOISE, ID
NPI
1609963081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA639)
Enumeration Date
2006-10-06
Last Update Date
2012-08-21
Business Address
-- KELLEY WOLFF PA
701 E PARKCENTER BLVD
BOISE, ID 83706-7539
Phone number: 208-381-6400
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Mailing Address
-- KELLEY WOLFF PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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