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1710197264
KELLEEN LOUISE FAKENBRIDGE
BOISE, ID
NPI
1710197264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP732)
Enumeration Date
2007-05-23
Last Update Date
2012-06-28
Business Address
Ms. KELLEEN LOUISE FAKENBRIDGE NP
8324 W NORTHVIEW ST SUITE 100
BOISE, ID 83704-7184
Phone number: 208-376-8337
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Mailing Address
Ms. KELLEEN LOUISE FAKENBRIDGE NP
8324 W NORTHVIEW ST SUITE 101
BOISE, ID 83704-7184
Phone number: 208-376-8337
Copy
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