MARY J STACKLE

BOISE, ID
NPI1841522661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  NP-945A)
Enumeration Date2010-02-03
Last Update Date2010-02-03
Business Address
-- MARY J STACKLE NP
8050 W NORTHVIEW ST
BOISE, ID 83704-7126
Phone number: 208-327-0504
Mailing Address
-- MARY J STACKLE NP
8050 W NORTHVIEW ST
BOISE, ID 83704-7126
Phone number: 208-327-0504
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