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1205910551
NICOLAS J. ALLEN
BOISE, ID
NPI
1205910551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA644)
Enumeration Date
2006-10-24
Last Update Date
2012-11-10
Business Address
-- NICOLAS J. ALLEN PA-C
703 S AMERICANA BLVD STE 120
BOISE, ID 83702-5099
Phone number: 208-323-2600
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Mailing Address
-- NICOLAS J. ALLEN PA-C
190 E BANNOCK ST
BOISE, ID 83712
Phone number: 208-381-2222
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