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1194264127
TIMOTHY MCHUGH
IDAHO FALLS, ID
NPI
1194264127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1479)
Enumeration Date
2017-02-23
Last Update Date
2017-02-23
Business Address
-- TIMOTHY MCHUGH
150 SHOUP AVE SUITE 17
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-5755
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Mailing Address
-- TIMOTHY MCHUGH
150 SHOUP AVE SUITE 17
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-5755
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