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1689226177
JEFFREY KENNETH WEESE
BOISE, ID
NPI
1689226177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 61065)
Enumeration Date
2019-07-15
Last Update Date
2019-07-24
Business Address
JEFFREY KENNETH WEESE NP
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
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Mailing Address
JEFFREY KENNETH WEESE NP
3340 E GOLDSTONE DR.
MERIDIAN, ID 83642
Phone number: 208-302-5900
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