OLIVIA ROCHELLE MANGEAC

MERIDIAN, ID
NPI1407303340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1387)
Enumeration Date2016-09-08
Last Update Date2016-11-23
Business Address
-- OLIVIA ROCHELLE MANGEAC PA-C
3025 W CHERRY LN SUITE B
MERIDIAN, ID 83642-8531
Phone number: 208-302-6450
Mailing Address
-- OLIVIA ROCHELLE MANGEAC PA-C
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-6400
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