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1154626323
NICHOLAS J BOX
BOISE, ID
NPI
1154626323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-877)
Enumeration Date
2011-01-20
Last Update Date
2023-09-08
Business Address
NICHOLAS J BOX PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
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Mailing Address
NICHOLAS J BOX PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8866
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