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1164450862
JEREMY DANIEL FRIX
MERIDIAN, ID
NPI
1164450862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-552)
Enumeration Date
2006-06-29
Last Update Date
2017-02-20
Business Address
-- JEREMY DANIEL FRIX PA
1648 NW 1ST STREET
MERIDIAN, ID 83642
Phone number: 208-888-9393
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Mailing Address
-- JEREMY DANIEL FRIX PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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