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1790370765
IDAHO NP CLINIC PLLC
BOISE, ID
NPI
1790370765
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Entity Type
Organization
Authorized Contact
JENNIFER HOFER
Owner
208-901-7006
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2021-03-02
Last Update Date
2021-05-21
Business Address
IDAHO NP CLINIC PLLC
1883 WILDWOOD ST STE C
BOISE, ID 83713-5146
Phone number: 662-571-7651
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Mailing Address
IDAHO NP CLINIC PLLC
1883 WILDWOOD ST STE C
BOISE, ID 83713-5146
Phone number: 208-901-7006
Copy
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