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1699497883
WENDY LANE
BOISE, ID
NPI
1699497883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID 57465)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
WENDY LANE LPN
500 W FORT ST BLDG 124
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
WENDY LANE LPN
500 W FORT ST BLDG 124
BOISE, ID 83702-4501
Phone number: 208-422-1000
Copy
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