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1265464036
SHARENE E WATSEN
BOISE, ID
NPI
1265464036
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Former Name
SHARENE E GOSSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA579)
Enumeration Date
2006-07-06
Last Update Date
2013-09-06
Business Address
-- SHARENE E WATSEN PA-C
403 SOUTH 11TH ST STE 100
BOISE, ID 83702-6906
Phone number: 208-429-0300
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Mailing Address
-- SHARENE E WATSEN PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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