POLINA KOKOULINA

BOISE, ID
NPI1013342468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-1093)
Enumeration Date2013-09-04
Last Update Date2015-04-06
Business Address
-- POLINA KOKOULINA PA-C
900 N LIBERTY ST STE 101
BOISE, ID 83704-8704
Phone number: 208-367-5050
Mailing Address
-- POLINA KOKOULINA PA-C
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-5050
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