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1720840507
KEVIN O'DONNELL
BOISE, ID
NPI
1720840507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 59222)
Enumeration Date
2024-01-26
Last Update Date
2024-02-22
Business Address
KEVIN O'DONNELL FNP
2619 W FAIRVIEW AVE STE 2100
BOISE, ID 83702-6722
Phone number: 208-706-2663
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Mailing Address
KEVIN O'DONNELL FNP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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