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1528798816
ELLI FOX
MERIDIAN, ID
NPI
1528798816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2345)
Enumeration Date
2022-06-10
Last Update Date
2023-10-09
Business Address
ELLI FOX PA
3399 E LOUISE DR STE 100
MERIDIAN, ID 83642-5212
Phone number: 208-887-6813
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Mailing Address
ELLI FOX PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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