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1013299866
HODAKA PAUL ABE
CALDWELL, ID
NPI
1013299866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA 926)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
-- HODAKA PAUL ABE PA
206 E ELM ST
CALDWELL, ID 83605-4815
Phone number: 208-459-4511
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Mailing Address
-- HODAKA PAUL ABE PA
206 E ELM ST
CALDWELL, ID 83605-4815
Phone number: 208-459-4511
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