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1619433703
JENSEN G PHILLIPS
BOISE, ID
NPI
1619433703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 58676)
Enumeration Date
2019-02-14
Last Update Date
2021-04-06
Business Address
JENSEN G PHILLIPS
703 S AMERICANA BLVD
BOISE, ID 83702-5099
Phone number: 208-706-6375
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Mailing Address
JENSEN G PHILLIPS
1276 W RIVER ST STE 100
BOISE, ID 83702-7083
Phone number:
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