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1629846423
MATTHEW THOMAS CARR
MCCALL, ID
NPI
1629846423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2632)
Enumeration Date
2023-12-12
Last Update Date
2024-02-19
Business Address
MATTHEW THOMAS CARR
211 FOREST ST
MCCALL, ID 83638-5256
Phone number: 208-634-2225
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Mailing Address
MATTHEW THOMAS CARR
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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