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1215979000
CHARLES T SHERWOOD
BOISE, ID
NPI
1215979000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA432)
Enumeration Date
2006-06-13
Last Update Date
2009-05-15
Business Address
Mr. CHARLES T SHERWOOD PA-C
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030
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Mailing Address
Mr. CHARLES T SHERWOOD PA-C
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-367-6030
Copy
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