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1336196757
KATHLEEN ROSE NIELSEN
MERIDIAN, ID
NPI
1336196757
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA411)
Enumeration Date
2006-05-30
Last Update Date
2023-03-07
Business Address
-- KATHLEEN ROSE NIELSEN PA
3041 E COPPER POINT DR
MERIDIAN, ID 83642-1740
Phone number: 208-514-4400
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Mailing Address
-- KATHLEEN ROSE NIELSEN PA
3041 E COPPER POINT DR
MERIDIAN, ID 83642-1740
Phone number: 208-514-4400
Copy
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