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1659309557
ANNTARA SMITH
BOISE, ID
NPI
1659309557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA482)
Enumeration Date
2006-06-29
Last Update Date
2022-06-17
Business Address
Ms. ANNTARA SMITH PA-C
1702 W FAIRVIEW AVE
BOISE, ID 83702-5121
Phone number: 208-957-7400
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Mailing Address
Ms. ANNTARA SMITH PA-C
1702 W FAIRVIEW AVE
BOISE, ID 83702-5121
Phone number: 208-957-7400
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