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1215418140
MICHAEL EDWARD MOLNAR
BOISE, ID
NPI
1215418140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-28
Last Update Date
2020-01-12
Business Address
MICHAEL EDWARD MOLNAR
2012 S LONGMONT AVE
BOISE, ID 83706-4235
Phone number: 732-239-0602
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Mailing Address
MICHAEL EDWARD MOLNAR
2012 S LONGMONT AVE
BOISE, ID 83706-4235
Phone number: 732-239-0602
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