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1033129465
AMY S WASELCHUK
BOISE, ID
NPI
1033129465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PRA-147)
Enumeration Date
2006-08-08
Last Update Date
2012-09-19
Business Address
-- AMY S WASELCHUK P.A.
600 N ROBBINS RD STE 100
BOISE, ID 83702-4566
Phone number: 208-383-0201
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Mailing Address
-- AMY S WASELCHUK P.A.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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