KEVIN SCOTT SHEARING

BOISE, ID
NPI1376941914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1217)
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
-- KEVIN SCOTT SHEARING PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
Mailing Address
-- KEVIN SCOTT SHEARING PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2094
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