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1629651666
SCOTT K M KNUDSEN
MOUNTAIN HOME, ID
NPI
1629651666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2589)
Enumeration Date
2021-04-28
Last Update Date
2024-04-25
Business Address
SCOTT K M KNUDSEN PA
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone number: 208-587-3988
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Mailing Address
SCOTT K M KNUDSEN PA
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone number: 208-587-3988
Copy
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