PAULO RAFAEL DEPAULA

MOUNTAIN HOME AFB, ID
NPI1518193507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2009-06-03
Last Update Date2023-07-11
Business Address
Mr. PAULO RAFAEL DEPAULA PA-C
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 088-287-9002
Mailing Address
Mr. PAULO RAFAEL DEPAULA PA-C
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648-1057
Phone number: 208-828-7900
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