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1992206742
KELLIE WATSON
BOISE, ID
NPI
1992206742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: ID 57868)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
KELLIE WATSON
6140 W CURTISIAN AVE
BOISE, ID 83704-8880
Phone number: 208-302-0130
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Mailing Address
KELLIE WATSON
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number:
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