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1477856649
CAROLYN JEAN SHOEMAKER
MOSCOW, ID
NPI
1477856649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-879)
Enumeration Date
2010-12-10
Last Update Date
2024-07-19
Business Address
CAROLYN JEAN SHOEMAKER PA-C
719 S MAIN ST
MOSCOW, ID 83843-3041
Phone number: 208-883-1152
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Mailing Address
CAROLYN JEAN SHOEMAKER PA-C
PO BOX 8007
MOSCOW, ID 83843-0507
Phone number: 208-882-4511
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