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1699163170
JESSICA BENNETT
BOISE, ID
NPI
1699163170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: ID 53218)
Enumeration Date
2015-01-06
Last Update Date
2019-08-26
Business Address
JESSICA BENNETT CNM
3679 S SHORTLEAF AVE
BOISE, ID 83716-8617
Phone number: 208-391-3995
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Mailing Address
JESSICA BENNETT CNM
3679 S SHORTLEAF AVE
BOISE, ID 83716-8617
Phone number: 208-391-3995
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