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1194894113
VICTOR M ISHIDA
FRUITLAND, ID
NPI
1194894113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA423)
Enumeration Date
2006-11-06
Last Update Date
2022-06-10
Business Address
VICTOR M ISHIDA P.A.
910 NW 16TH ST STE 101
FRUITLAND, ID 83619-2265
Phone number: 208-452-8050
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Mailing Address
VICTOR M ISHIDA P.A.
910 NW 16TH ST STE 101
FRUITLAND, ID 83619-2265
Phone number: 208-452-8050
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