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1871629055
MARY KATHRYN STARK
BOISE, ID
NPI
1871629055
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Former Name
MARY KATHRYN DERIEG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200750019NP)
Enumeration Date
2007-02-24
Last Update Date
2018-03-17
Business Address
MARY KATHRYN STARK RN, MS, FNP, DNP
3668 N HARBOR LN
BOISE, ID 83703-6914
Phone number: 800-769-0045
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Mailing Address
MARY KATHRYN STARK RN, MS, FNP, DNP
2001 E MADISON ST
SEATTLE, WA 98122-2959
Phone number: 206-430-0316
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