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1629351614
WELDON T RICHARDSON
IDAHO FALLS, ID
NPI
1629351614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
Mr. WELDON T RICHARDSON PA-C
1341 E 17TH ST
IDAHO FALLS, ID 83404-6235
Phone number: 208-523-7246
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Mailing Address
Mr. WELDON T RICHARDSON PA-C
1341 E 17TH ST
IDAHO FALLS, ID 83404-6235
Phone number: 208-523-7246
Copy
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