DANIEL A SQUIRE

NAMPA, ID
NPI1447734892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1661)
Enumeration Date2018-09-21
Last Update Date2018-10-18
Business Address
DANIEL A SQUIRE PA
207 1ST ST S
NAMPA, ID 83651-3703
Phone number: 208-466-7869
Mailing Address
DANIEL A SQUIRE PA
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-461-7149
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