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1669901245
STEPHANIE LARIE THOMPSON
BOISE, ID
NPI
1669901245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: ID 55369)
Enumeration Date
2017-06-07
Last Update Date
2023-03-08
Business Address
STEPHANIE LARIE THOMPSON NP
500 W FORT ST
BOISE, ID 83702
Phone number: 208-422-1000
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Mailing Address
STEPHANIE LARIE THOMPSON NP
500 W FORT ST
BOISE, ID 83702
Phone number: 208-422-1000
Copy
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