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1346283363
ALEX P CASEBOLT
BOISE, ID
NPI
1346283363
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA300)
Enumeration Date
2006-06-14
Last Update Date
2024-05-28
Business Address
ALEX P CASEBOLT PA
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
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Mailing Address
ALEX P CASEBOLT PA
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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