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1114964616
AMBER M VICKERS
BOISE, ID
NPI
1114964616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA555)
Enumeration Date
2006-06-01
Last Update Date
2021-12-06
Business Address
AMBER M VICKERS PA-C
7350 W VICTORY RD
BOISE, ID 83709-4237
Phone number: 208-809-2888
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Mailing Address
AMBER M VICKERS PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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