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1932640968
SHASTA MARIE SLAVKOVSKY
BOISE, ID
NPI
1932640968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: ID 55265)
Enumeration Date
2017-03-09
Last Update Date
2017-03-30
Business Address
-- SHASTA MARIE SLAVKOVSKY NP
901 N CURTIS RD #503
BOISE, ID 83706-1338
Phone number: 208-302-4000
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Mailing Address
-- SHASTA MARIE SLAVKOVSKY NP
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-4000
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