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1659038669
BROOKE LEE SKINNER
POCATELLO, ID
NPI
1659038669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-2154)
Enumeration Date
2021-11-24
Last Update Date
2021-12-18
Business Address
BROOKE LEE SKINNER PHYSICIAN ASSISTANT
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
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Mailing Address
BROOKE LEE SKINNER PHYSICIAN ASSISTANT
4728 REVOLUTION RD
CHUBBUCK, ID 83202-1986
Phone number: 208-251-8700
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