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1366555971
HARLEY NEIL SWEETEN
BOISE, ID
NPI
1366555971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA326)
Enumeration Date
2006-08-16
Last Update Date
2012-09-18
Business Address
-- HARLEY NEIL SWEETEN PA
125 E IDAHO ST SUITE 102
BOISE, ID 83712-6212
Phone number: 208-381-7300
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Mailing Address
-- HARLEY NEIL SWEETEN PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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