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1114510062
DANIEL G DEAN
BOISE, ID
NPI
1114510062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2003)
Enumeration Date
2021-02-11
Last Update Date
2024-03-11
Business Address
DANIEL G DEAN PA-C
633 N 4TH ST
BOISE, ID 83702-4510
Phone number: 208-342-9800
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Mailing Address
DANIEL G DEAN PA-C
633 N 4TH ST
BOISE, ID 83702-4510
Phone number: 208-342-9800
Copy
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