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1184031866
SHANE MCINTYRE
BOISE, ID
NPI
1184031866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID TLP-034)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- SHANE MCINTYRE PA
8971 W OVERLAND RD
BOISE, ID 83709-1651
Phone number: 208-378-4288
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Mailing Address
-- SHANE MCINTYRE PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522
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