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1265167019
TOMAS JON SCOLERI
TWIN FALLS, ID
NPI
1265167019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2303)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2022-07-17
Last Update Date
2022-09-08
Business Address
TOMAS JON SCOLERI
775 POLE LINE RD W STE 213
TWIN FALLS, ID 83301-5820
Phone number: 208-814-8475
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Mailing Address
TOMAS JON SCOLERI
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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