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1497969604
IDAHO PHYSICAL MEDICINE & REHABILITATION
BOISE, ID
NPI
1497969604
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Other Name
PA GRP
Entity Type
Organization
Authorized Contact
SHARON A LEE
Administrator
208-489-5160
Organization Subpart ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-05-09
Last Update Date
2010-03-16
Business Address
IDAHO PHYSICAL MEDICINE & REHABILITATION
600 ROBBINS RD
BOISE, ID 83702-4539
Phone number: 208-489-4016
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Mailing Address
IDAHO PHYSICAL MEDICINE & REHABILITATION
600 N. ROBBINS RD
BOISE, ID 83702
Phone number: 208-489-4016
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