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1255059440
AUTUMN CLEGG
POCATELLO, ID
NPI
1255059440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-15
Last Update Date
2024-08-14
Business Address
AUTUMN CLEGG
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
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Mailing Address
AUTUMN CLEGG
743 ROBIN ST
SMITHFIELD, UT 84335-1001
Phone number: 435-754-5542
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