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Individual

JEAN LOUISE SPURGEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2720 N 31ST ST, BOISE, ID 83703-5443
(208) 866-2994
Mailing address
2720 N 31ST ST, BOISE, ID 83703-5443
(208) 866-2994

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60262024
WA
363LF0000X
Family Nurse Practitioner
Primary
NP-1107A
ID

Other

Enumeration date
01/28/2012
Last updated
01/28/2012
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