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1770100695
PAMELA JANE MARTIN
BOISE, ID
NPI
1770100695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0100X Registered Nurse, Gastroenterology
(Licence: ID N-28164)
Enumeration Date
2020-06-26
Last Update Date
2020-06-26
Business Address
PAMELA JANE MARTIN registered nurse
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
PAMELA JANE MARTIN registered nurse
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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