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1104851401
PATRICIA ANTOINETTE DOCK
BOISE, ID
NPI
1104851401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
170300000X Genetic Counselor, MS
(Licence: ID 2005070)
Enumeration Date
2006-07-12
Last Update Date
2012-03-27
Business Address
Ms. PATRICIA ANTOINETTE DOCK BS, MS, MS
6200 WEST EMERALD STREET
BOISE, ID 83704
Phone number: 208-367-7740
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Mailing Address
Ms. PATRICIA ANTOINETTE DOCK BS, MS, MS
6200 WEST EMERALD STREET
BOISE, ID 83704
Phone number: 208-367-7740
Copy
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