GAYLE JEAN DETWEILER

MERIDIAN, ID
NPI1548339211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA263)
Enumeration Date2006-11-07
Last Update Date2007-07-09
Business Address
-- GAYLE JEAN DETWEILER P.A.
366 SW 5TH AVE SUITE 100
MERIDIAN, ID 83642-8600
Phone number: 208-898-9755
Mailing Address
-- GAYLE JEAN DETWEILER P.A.
366 SW 5TH AVE SUITE 100
MERIDIAN, ID 83642-8600
Phone number: 208-898-9755
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