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1952066102
ALEXANDRIA JORDAN KOMLENIC
BOISE, ID
NPI
1952066102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 56249)
Enumeration Date
2021-11-02
Last Update Date
2022-01-14
Business Address
ALEXANDRIA JORDAN KOMLENIC NP
305 E JEFFERSON ST
BOISE, ID 83712-6231
Phone number: 208-381-7310
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Mailing Address
ALEXANDRIA JORDAN KOMLENIC NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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