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1396071056
SORCHA M CUSACK
BOISE, ID
NPI
1396071056
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Former Name
SORCHA M YINGST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA825)
Enumeration Date
2009-10-29
Last Update Date
2012-01-05
Business Address
-- SORCHA M CUSACK PA-C
300 E JEFFERSON ST STE 300
BOISE, ID 83712-6246
Phone number: 208-381-4000
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Mailing Address
-- SORCHA M CUSACK PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-732-3400
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