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1235430059
BREEANN MARIE PETRIE
CHALLIS, ID
NPI
1235430059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA875)
Enumeration Date
2010-11-10
Last Update Date
2022-03-21
Business Address
BREEANN MARIE PETRIE PA-C
431 E. MAIN ST. #994
CHALLIS, ID 83226-2713
Phone number: 208-833-1313
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Mailing Address
BREEANN MARIE PETRIE PA-C
431 E. MAIN ST. #994
CHALLIS, ID 83226
Phone number: 208-833-1313
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