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1770204521
RACHEL ELLEDGE
BOISE, ID
NPI
1770204521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID 55305)
Enumeration Date
2022-09-09
Last Update Date
2022-10-26
Business Address
RACHEL ELLEDGE CPNP-PC
305 E JEFFERSON ST
BOISE, ID 83712-6231
Phone number: 208-381-6196
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Mailing Address
RACHEL ELLEDGE CPNP-PC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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