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1629294194
KERRI L TUCKER
BOISE, ID
NPI
1629294194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: ID NP 807A)
Enumeration Date
2007-04-17
Last Update Date
2012-09-18
Business Address
-- KERRI L TUCKER NP
100 E IDAHO ST STE 400
BOISE, ID 83712-6267
Phone number: 208-345-5250
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Mailing Address
-- KERRI L TUCKER NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-345-5250
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