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Individual

MARY JOE SAYCON ABAQUITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
711 N CURTIS RD, BOISE, ID 83706-1445
(208) 605-3000
Mailing address
218 N AVENGER LN APT 102, BOISE, ID 83704-1752
(208) 605-3000

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
68533
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68533
NURSING LICENSE
ID
Enumeration date
10/05/2022
Last updated
10/05/2022
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