LARISA KOGAN

NAMPA, ID
NPI1740680149
Former NameLARISA KRAMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP0000)
Enumeration Date2014-09-04
Last Update Date2014-09-04
Business Address
-- LARISA KOGAN NP
308 E HAWAII AVE
NAMPA, ID 83686-6013
Phone number: 208-467-6700
Mailing Address
-- LARISA KOGAN NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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