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1154363000
NICHOLAS J PERIUS
TWIN FALLS, ID
NPI
1154363000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-258)
Enumeration Date
2006-06-12
Last Update Date
2007-07-24
Business Address
-- NICHOLAS J PERIUS PA
650 ADDISON AVE W
TWIN FALLS, ID 83301-5444
Phone number: 208-732-3429
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Mailing Address
-- NICHOLAS J PERIUS PA
PO BOX 409
TWIN FALLS, ID 83303-0409
Phone number: 208-732-3429
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