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1063740082
CHANTELLE E BOWMAN
FORT HALL, ID
NPI
1063740082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-831)
Enumeration Date
2009-12-02
Last Update Date
2016-03-29
Business Address
Miss CHANTELLE E BOWMAN PA-C
717 MISSION ROAD COMMUNITY HEALTH NURSING PROGRAM
FORT HALL, ID 83203
Phone number: 208-238-5435
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Mailing Address
Miss CHANTELLE E BOWMAN PA-C
PO BOX 306
FORT HALL, ID 83203-0306
Phone number: 208-234-2300
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