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1154374536
MARY FISK MEBANE
BOISE, ID
NPI
1154374536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID RPA250)
Enumeration Date
2006-05-18
Last Update Date
2012-08-18
Business Address
-- MARY FISK MEBANE P.A.
701 E PARKCENTER BLVD
BOISE, ID 83706-7539
Phone number: 208-381-6400
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Mailing Address
-- MARY FISK MEBANE P.A.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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