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1649490277
MICHELE DESILETS-REEL
BOISE, ID
NPI
1649490277
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Former Name
MICHELE C DESILETS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID 531)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Mrs. MICHELE DESILETS-REEL PA-C
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
Mrs. MICHELE DESILETS-REEL PA-C
484 NW JEROME AVE
MOUNTAIN HOME, ID 83647-2408
Phone number: 208-587-5947
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