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Individual

MS. JODI LYNN MARJONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1000 N CURTIS RD, SUITE 103, BOISE, ID 83706-1337
(208) 323-1235
Mailing address
11250 HIGHLANDER RD, BOISE, ID 83709-5249

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
N16767
ID

Other

Enumeration date
06/20/2006
Last updated
07/08/2007
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