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1275936981
SHAYLAN PEASE
BOISE, ID
NPI
1275936981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA170126)
Enumeration Date
2014-10-08
Last Update Date
2018-01-25
Business Address
SHAYLAN PEASE PA-C
6259 W EMERALD ST
BOISE, ID 83704-8731
Phone number: 208-489-1900
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Mailing Address
SHAYLAN PEASE PA-C
9155 SW BARNES RD SUITE 210
PORTLAND, OR 97225-6625
Phone number:
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