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1922309848
JULIANN C VISSER
BOISE, ID
NPI
1922309848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA874)
Enumeration Date
2010-11-09
Last Update Date
2024-03-20
Business Address
Mrs. JULIANN C VISSER PA-C
6454 W. EMERALD STREET
BOISE, ID 83704-8734
Phone number: 208-377-0820
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Mailing Address
Mrs. JULIANN C VISSER PA-C
6454 W. EMERALD STREET
BOISE, ID 83704-8734
Phone number: 208-377-0820
Copy
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