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1982227435
VICTORIA LIGHTLE
BOISE, ID
NPI
1982227435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0100X Registered Nurse, Gastroenterology
(Licence: ID N-28383)
Enumeration Date
2020-05-19
Last Update Date
2020-05-19
Business Address
VICTORIA LIGHTLE
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1092
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Mailing Address
VICTORIA LIGHTLE
500 W FORT ST
BOISE, ID 83702-4501
Phone number:
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