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1164910824
MICHELLE STODDARD
MERIDIAN, ID
NPI
1164910824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1620)
Enumeration Date
2018-04-27
Last Update Date
2023-02-27
Business Address
MICHELLE STODDARD PA
2365 E GALA ST STE 1
MERIDIAN, ID 83642-4881
Phone number: 208-515-2654
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Mailing Address
MICHELLE STODDARD PA
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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