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1669069985
MARISSA BOXALL
BOISE, ID
NPI
1669069985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID PN-13640)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
MARISSA BOXALL
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
MARISSA BOXALL
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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