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1336110980
DELMAR WALLACE SMITH
MOUNTAIN HOME, ID
NPI
1336110980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-265)
Enumeration Date
2006-01-31
Last Update Date
2008-02-25
Business Address
Mr. DELMAR WALLACE SMITH P.A.
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3138
Phone number: 208-587-1500
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Mailing Address
Mr. DELMAR WALLACE SMITH P.A.
2000 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 83647-3138
Phone number: 208-587-1500
Copy
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