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Individual

VICKI MICHELLE GOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
13400 S PLEASANT VALLEY RD, KUNA, ID 83634-2716
(208) 383-1635
Mailing address
13400 S PLEASANT VALLEY RD, KUNA, ID 83634-2716
(208) 383-1635

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61423
ID

Other

Enumeration date
10/20/2019
Last updated
09/28/2020
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