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1619375110
SHAUNDRA RENEE FONTAINE
BOISE, ID
NPI
1619375110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: ID A-80)
Enumeration Date
2014-12-15
Last Update Date
2015-03-30
Business Address
Ms. SHAUNDRA RENEE FONTAINE RN, APRN, CNM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
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Mailing Address
Ms. SHAUNDRA RENEE FONTAINE RN, APRN, CNM
207 W WASHINGTON ST
BOISE, ID 83702-5989
Phone number: 208-343-2079
Copy
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