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1508245010
MADELINE LOUISE LIMA
BOISE, ID
NPI
1508245010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- MADELINE LOUISE LIMA PA
1520 W STATE ST
BOISE, ID 83702-4085
Phone number: 208-947-7700
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Mailing Address
-- MADELINE LOUISE LIMA PA
5899 S SEDUM WAY
BOISE, ID 83716-7008
Phone number: 208-866-2642
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