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1922707686
MELISSA MACLEAN
MERIDIAN, ID
NPI
1922707686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 75309)
Enumeration Date
2023-03-01
Last Update Date
2023-05-31
Business Address
MELISSA MACLEAN
3399 E LOUISE DR STE 100
MERIDIAN, ID 83642-5212
Phone number: 208-887-6813
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Mailing Address
MELISSA MACLEAN
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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