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1649368242
JOHN ANTHONY MEBANE
BOISE, ID
NPI
1649368242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-576)
Enumeration Date
2006-10-10
Last Update Date
2022-03-28
Business Address
JOHN ANTHONY MEBANE PA
500 W FORT ST # 111
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
JOHN ANTHONY MEBANE PA
966 PIERCE CT
BOISE, ID 83712-7447
Phone number: 208-422-1325
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