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1215949532
CARL RYAN ANDRUS
BOISE, ID
NPI
1215949532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-508)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
-- CARL RYAN ANDRUS P.A.
4902 W STATE ST
BOISE, ID 83703-3326
Phone number: 208-853-3100
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Mailing Address
-- CARL RYAN ANDRUS P.A.
4902 W STATE ST
BOISE, ID 83703-3326
Phone number: 208-853-3100
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