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1982230710
JESSICA WYNN COUNCELL
BOISE, ID
NPI
1982230710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: ID 59664)
Enumeration Date
2020-03-12
Last Update Date
2020-06-09
Business Address
JESSICA WYNN COUNCELL CNM
1072 N LIBERTY ST STE 100
BOISE, ID 83704
Phone number: 208-302-1200
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Mailing Address
JESSICA WYNN COUNCELL CNM
3340 E GOLDSTONE DR.
MERIDIAN, ID 83642
Phone number: 208-302-1200
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