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1104991868
MEGAN C MCDONELL
BOISE, ID
NPI
1104991868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1507)
Enumeration Date
2006-11-21
Last Update Date
2022-04-26
Business Address
MEGAN C MCDONELL PA
703 S AMERICANA BLVD
BOISE, ID 83702-5099
Phone number: 208-706-2663
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Mailing Address
MEGAN C MCDONELL PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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