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1104213123
MARC T NAGEL
MERIDIAN, ID
NPI
1104213123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1248)
Enumeration Date
2015-04-16
Last Update Date
2015-05-06
Business Address
MARC T NAGEL PA-C
3115 E FLORENCE DR
MERIDIAN, ID 83642-1586
Phone number: 208-895-8670
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Mailing Address
MARC T NAGEL PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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