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1760845259
JILL MOUGHAMIAN
BOISE, ID
NPI
1760845259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID NP-1708A)
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
-- JILL MOUGHAMIAN NP
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713-1067
Phone number: 208-392-8383
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Mailing Address
-- JILL MOUGHAMIAN NP
2965 E TARPON DR STE 150
MERIDIAN, ID 83642-9007
Phone number: 208-287-9420
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