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Individual

ALICE SABOURIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
907 E HOLLY ST, BOISE, ID 83712-7842
(208) 451-3466
Mailing address
500 W FORT ST, BOISE, ID 83702-4501

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
59270
ID

Other

Enumeration date
08/15/2024
Last updated
08/15/2024
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