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1346973245
DEMITRI CARAHALIOS
MERIDIAN, ID
NPI
1346973245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
DEMITRI CARAHALIOS Physician Assistant
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 720-940-1562
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Mailing Address
DEMITRI CARAHALIOS Physician Assistant
2709 N 28TH ST
BOISE, ID 83703-5417
Phone number: 720-940-1562
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