SORCHA M CUSACK

BOISE, ID
NPI1396071056
Former NameSORCHA M YINGST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA825)
Enumeration Date2009-10-29
Last Update Date2012-01-05
Business Address
-- SORCHA M CUSACK PA-C
300 E JEFFERSON ST STE 300
BOISE, ID 83712-6246
Phone number: 208-381-4000
Mailing Address
-- SORCHA M CUSACK PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-732-3400
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