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1457023244
SAM JENSEN WRIGHT
IDAHO FALLS, ID
NPI
1457023244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID PA-2117)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
SAM JENSEN WRIGHT PA
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number: 208-525-8448
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Mailing Address
SAM JENSEN WRIGHT PA
2725 CHANNING WAY
IDAHO FALLS, ID 83404-7510
Phone number:
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