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1750007787
AMANDA RAE MICHELI-PENNINGTON
BOISE, ID
NPI
1750007787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: ID 36388)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
AMANDA RAE MICHELI-PENNINGTON RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1597
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Mailing Address
AMANDA RAE MICHELI-PENNINGTON RN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1597
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