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1841815149
JAN DRAKE
BOISE, ID
NPI
1841815149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: ID pn-15963)
Enumeration Date
2020-06-11
Last Update Date
2020-06-11
Business Address
JAN DRAKE LPN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
JAN DRAKE LPN
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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