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1164152336
GERAD CLINTON HOUSE
BOISE, ID
NPI
1164152336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-12
Last Update Date
2024-08-26
Business Address
GERAD CLINTON HOUSE PA-C
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
GERAD CLINTON HOUSE PA-C
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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