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1649221912
MATTHEW R NELSON
IDAHO FALLS, ID
NPI
1649221912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA540)
Enumeration Date
2006-05-12
Last Update Date
2014-10-15
Business Address
MATTHEW R NELSON PA C
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404-8281
Phone number: 208-522-7246
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Mailing Address
MATTHEW R NELSON PA C
2375 E SUNNYSIDE RD SUITE J
IDAHO FALLS, ID 83404-8280
Phone number: 208-522-7246
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