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1003326398
MICHAEL VINCEN-BROWN
NAMPA, ID
NPI
1003326398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1538)
Enumeration Date
2017-10-02
Last Update Date
2021-09-08
Business Address
MICHAEL VINCEN-BROWN PA-C
1115 12TH AVE
NAMPA, ID 83686
Phone number: 208-498-1080
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Mailing Address
MICHAEL VINCEN-BROWN PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-985-1399
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