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1528097102
TERRY J. ANDERSON
REXBURG, ID
NPI
1528097102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA 663)
Enumeration Date
2006-07-03
Last Update Date
2013-04-05
Business Address
-- TERRY J. ANDERSON PA-C
100 SHC DRIVE BYUI
REXBURG, ID 83460-2010
Phone number: 208-496-9330
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Mailing Address
-- TERRY J. ANDERSON PA-C
100 SHC DRIVE BYUI
REXBURG, ID 83460-2010
Phone number: 208-496-9330
Copy
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