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1194833111
MYRNA LEE
IDAHO FALLS, ID
NPI
1194833111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA334)
Enumeration Date
2006-08-29
Last Update Date
2009-05-18
Business Address
Ms. MYRNA LEE P.A.-C
1740 E 17TH ST SUITE A
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-7500
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Mailing Address
Ms. MYRNA LEE P.A.-C
1740 E 17TH ST SUITE A
IDAHO FALLS, ID 83404-6375
Phone number: 208-346-7500
Copy
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