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1386680239
DUSTIN K BOWMAN
BOISE, ID
NPI
1386680239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA523)
Enumeration Date
2006-06-21
Last Update Date
2011-08-04
Business Address
-- DUSTIN K BOWMAN PA-C
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-2711
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Mailing Address
-- DUSTIN K BOWMAN PA-C
190 E BANNOCK ST.
BOISE, ID 83712
Phone number: 208-381-2711
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