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1114966959
STEPHEN J FRELLY
MERIDIAN, ID
NPI
1114966959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA495)
Enumeration Date
2006-06-06
Last Update Date
2019-08-29
Business Address
Mr. STEPHEN J FRELLY PA
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
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Mailing Address
Mr. STEPHEN J FRELLY PA
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 83642-6457
Phone number: 208-884-3376
Copy
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