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1184762825
VINCENT FIBELSTAD
LEWISTON, ID
NPI
1184762825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-02)
Enumeration Date
2007-02-02
Last Update Date
2007-07-09
Business Address
-- VINCENT FIBELSTAD PA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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Mailing Address
-- VINCENT FIBELSTAD PA
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-743-2511
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