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1326515313
VANESSA ESTELLA MARTINEZ-QUEZADA
BLACKFOOT, ID
NPI
1326515313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 11203807-1206)
Enumeration Date
2018-10-28
Last Update Date
2019-09-03
Business Address
VANESSA ESTELLA MARTINEZ-QUEZADA
419 W 270 N
BLACKFOOT, ID 83221-4927
Phone number: 208-221-4462
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Mailing Address
VANESSA ESTELLA MARTINEZ-QUEZADA
672 W 400 S STE 201
SPRINGVILLE, UT 84663-3170
Phone number:
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