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1073248829
DANIEL REED MARSHALL
NAMPA, ID
NPI
1073248829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-17
Last Update Date
2023-01-11
Business Address
DANIEL REED MARSHALL
1019 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-912-4416
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Mailing Address
DANIEL REED MARSHALL
1019 W SANETTA ST
NAMPA, ID 83651-5047
Phone number: 208-912-4416
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