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1649214131
JULIE CLARK
BOISE, ID
NPI
1649214131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA256)
Enumeration Date
2006-06-15
Last Update Date
2016-11-17
Business Address
-- JULIE CLARK PA-C
10255 OVERLAND RD
BOISE, ID 83709-1430
Phone number: 208-302-5600
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Mailing Address
-- JULIE CLARK PA-C
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-5600
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