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1659613636
RACHAEL L PEDERSEN
BOISE, ID
NPI
1659613636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1257A)
Enumeration Date
2013-03-18
Last Update Date
2013-04-24
Business Address
-- RACHAEL L PEDERSEN NP
100 E WARM SPRINGS AVE STE B
BOISE, ID 83712-6243
Phone number: 208-381-6930
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Mailing Address
-- RACHAEL L PEDERSEN NP
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-6930
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