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1285105544
TREVOR J CRAPO
CALDWELL, ID
NPI
1285105544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-1684)
Enumeration Date
2018-12-16
Last Update Date
2019-01-08
Business Address
TREVOR J CRAPO PA
315 E ELM ST STE 100
CALDWELL, ID 83605
Phone number: 208-302-7100
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Mailing Address
TREVOR J CRAPO PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-7100
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