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1811184492
ALISA D. ORTEGA
BOISE, ID
NPI
1811184492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: ID NP242A)
Enumeration Date
2007-09-27
Last Update Date
2012-10-06
Business Address
-- ALISA D. ORTEGA NP
417 S 6TH ST
BOISE, ID 83702-7632
Phone number: 208-577-4460
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Mailing Address
-- ALISA D. ORTEGA NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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